Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $91.98 / $161.08	Facility		$42.78	$91.98	$161.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $42.78 / $77.20	Professional		$15.62	$42.78	$77.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $57.75 / $94.63	Facility		$47.21	$57.75	$94.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $26.52 / $69.51	Professional		$21.39	$26.52	$69.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $66.84 / $80.20	Facility		$53.47	$66.84	$80.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $72.18 / $128.33	Professional		$69.51	$72.18	$128.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $60.83 / $305.19	Facility		$47.73	$60.83	$305.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $36.11 / $103.92	Professional		$22.24	$36.11	$103.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $60.83 / $305.19	Facility		$47.73	$60.83	$305.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $34.54 / $103.92	Professional		$21.99	$34.54	$103.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $48.12 / $66.16	Professional		$42.10	$48.12	$66.16
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $32.08 / $70.62	Professional		$8.86	$32.08	$70.62