Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $63.20 / $117.96	Facility		$42.13	$63.20	$117.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.97	Professional		$42.13	$42.13	$42.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $42.13	Professional		$16.85	$16.85	$42.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $58.98 / $78.22	Facility		$42.13	$58.98	$78.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $54.77 / $56.88	Professional		$35.81	$54.77	$56.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $28.93 / $243.91	Facility		$20.74	$28.93	$243.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $37.31 / $62.54	Professional		$20.34	$37.31	$62.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $27.38 / $243.91	Facility		$20.74	$27.38	$243.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $22.84 / $50.04	Professional		$20.34	$22.84	$50.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $34.76 / $50.56	Professional		$31.60	$34.76	$50.56
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $23.18 / $51.03	Professional		$16.23	$23.18	$51.03