Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $71.48 / $128.58	Facility		$42.13	$71.48	$128.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $77.14	Professional		$42.13	$42.13	$77.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $17.92	Professional		$6.00	$6.00	$17.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $74.56 / $95.48	Facility		$51.43	$74.56	$95.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $66.86 / $69.43	Professional		$43.72	$66.86	$69.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $29.29 / $33.43	Facility		$25.32	$29.29	$33.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $59.10 / $73.88	Professional		$50.04	$59.10	$73.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $28.71 / $297.80	Facility		$25.32	$28.71	$297.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $51.43 / $51.43	Professional		$50.04	$51.43	$51.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $42.42 / $61.71	Professional		$38.57	$42.42	$61.71
United Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $24.43 / $62.33	Professional		$16.25	$24.43	$62.33