Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $111.74 / $197.70	Facility		$51.35	$111.74	$197.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $51.35 / $64.19	Professional		$32.10	$51.35	$64.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.68 / $70.61 / $113.60	Facility		$56.68	$70.61	$113.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $25.68 / $64.19	Professional		$25.68	$25.68	$64.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $64.19 / $86.66	Facility		$48.15	$64.19	$86.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $83.45 / $86.66	Professional		$54.56	$83.45	$86.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $66.08 / $219.03	Facility		$41.72	$66.08	$219.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $41.72 / $91.89	Professional		$25.23	$41.72	$91.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $66.08 / $219.03	Facility		$41.72	$66.08	$219.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $29.39 / $53.14	Professional		$25.23	$29.39	$53.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $52.95 / $77.02	Professional		$48.14	$52.95	$77.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $32.64 / $84.09	Professional		$22.85	$32.64	$84.09