Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $89.44 / $139.08	Facility		$34.27	$89.44	$139.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $34.27 / $61.84	Professional		$34.27	$34.27	$61.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $46.27 / $75.81	Facility		$37.83	$46.27	$75.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $27.49 / $62.54	Professional		$21.15	$27.49	$62.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $53.55 / $64.26	Facility		$42.84	$53.55	$64.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $57.83 / $102.82	Professional		$55.69	$57.83	$102.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.09 / $48.74 / $244.52	Facility		$44.09	$48.74	$244.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $37.59 / $83.14	Professional		$21.79	$37.59	$83.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.09 / $48.74 / $244.52	Facility		$44.09	$48.74	$244.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $38.63 / $101.43	Professional		$21.79	$38.63	$101.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.73 / $38.55 / $53.01	Professional		$33.73	$38.55	$53.01
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $62.42	Professional		$17.98	$25.70	$62.42