Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.07 / $99.36 / $146.57	Facility		$38.07	$99.36	$146.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $38.07 / $47.59	Professional		$25.21	$38.07	$47.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.02 / $52.35 / $84.22	Facility		$42.02	$52.35	$84.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $23.50 / $52.56	Professional		$23.50	$23.50	$52.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $47.59 / $64.25	Facility		$38.20	$47.59	$64.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $61.87 / $64.25	Professional		$40.45	$61.87	$64.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $48.99 / $180.44	Facility		$30.93	$48.99	$180.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $38.19 / $69.27	Professional		$24.27	$38.19	$69.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $48.99 / $183.55	Facility		$30.93	$48.99	$183.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $30.93 / $63.90	Professional		$24.27	$30.93	$63.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $42.82 / $58.88	Professional		$35.69	$42.82	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $28.55 / $62.85	Professional		$19.98	$28.55	$62.85