Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $104.79 / $168.97	Facility		$44.59	$104.79	$168.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $44.59 / $80.45	Professional		$39.77	$44.59	$80.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $60.20 / $98.64	Facility		$49.22	$60.20	$98.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $28.99 / $79.28	Professional		$22.30	$28.99	$79.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $64.09 / $83.61	Facility		$55.74	$64.09	$83.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $72.45 / $121.63	Professional		$55.74	$72.45	$121.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $63.40 / $318.10	Facility		$49.74	$63.40	$318.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $43.33 / $107.94	Professional		$25.43	$43.33	$107.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $63.40 / $318.10	Facility		$49.74	$63.40	$318.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $41.25 / $107.94	Professional		$25.43	$41.25	$107.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $50.17 / $68.98	Professional		$43.90	$50.17	$68.98
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $33.44 / $73.62	Professional		$23.41	$33.44	$73.62