Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $75.53 / $135.69	Facility		$45.23	$75.53	$135.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $90.00	Professional		$45.22	$45.23	$90.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $35.33	Professional		$14.13	$14.13	$35.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $45.93 / $61.83	Facility		$30.03	$45.93	$61.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $35.33 / $58.19	Professional		$22.96	$35.33	$58.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $24.26 / $204.53	Facility		$17.39	$24.26	$204.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $40.60 / $53.72	Professional		$17.82	$40.60	$53.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $60.75 / $138.60	Facility		$22.96	$60.75	$138.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $39.72 / $53.72	Professional		$17.03	$39.72	$53.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $29.15 / $42.40	Professional		$26.50	$29.15	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $24.77 / $47.61	Professional		$16.55	$24.77	$47.61