Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $71.68 / $112.61	Facility		$29.25	$71.68	$112.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $29.25 / $52.78	Professional		$29.25	$29.25	$52.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.28 / $40.22 / $64.70	Facility		$32.28	$40.22	$64.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $45.70	Professional		$18.05	$18.05	$45.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $36.56 / $49.36	Facility		$29.35	$36.56	$49.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $47.53 / $49.36	Professional		$31.08	$47.53	$49.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $37.64 / $138.60	Facility		$23.76	$37.64	$138.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $36.61 / $75.81	Professional		$18.66	$36.61	$75.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $37.64 / $141.69	Facility		$23.76	$37.64	$141.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $35.95 / $75.81	Professional		$18.66	$35.95	$75.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $30.16 / $43.87	Professional		$27.42	$30.16	$43.87
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.94 / $53.27	Professional		$15.36	$21.94	$53.27