Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $122.69 / $237.31	Facility		$62.92	$122.69	$237.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $62.92 / $78.65	Professional		$49.55	$62.92	$78.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $86.52 / $139.19	Facility		$69.45	$86.52	$139.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $31.46 / $78.65	Professional		$31.46	$31.46	$78.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $78.65 / $106.18	Facility		$56.39	$78.65	$106.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $102.25 / $106.18	Professional		$66.84	$102.25	$106.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.21 / $80.97 / $165.63	Facility		$44.21	$80.97	$165.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $41.08 / $113.06	Professional		$25.23	$41.08	$113.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.21 / $80.97 / $268.38	Facility		$44.21	$80.97	$268.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $37.04 / $53.14	Professional		$25.23	$37.04	$53.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $70.78 / $97.33	Professional		$58.99	$70.78	$97.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $39.33 / $94.38	Professional		$23.22	$39.33	$94.38