Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $72.95 / $183.16	Facility		$26.63	$72.95	$183.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $48.64 / $60.80	Professional		$48.64	$48.64	$60.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $66.88 / $107.60	Facility		$53.69	$66.88	$107.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $24.32 / $48.53	Professional		$10.00	$24.32	$48.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.24 / $60.80 / $82.08	Facility		$36.24	$60.80	$82.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $79.04 / $82.08	Professional		$51.68	$79.04	$82.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $62.56 / $207.48	Facility		$27.05	$62.56	$207.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $27.74 / $79.84	Professional		$7.60	$27.74	$79.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $62.60 / $234.81	Facility		$21.90	$62.60	$234.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $16.09 / $39.52	Professional		$7.57	$16.09	$39.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $54.72 / $75.23	Professional		$45.60	$54.72	$75.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $30.40 / $72.95	Professional		$7.22	$30.40	$72.95