Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $91.13 / $162.00	Facility		$33.11	$91.13	$162.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $28.07 / $50.65	Professional		$24.82	$28.07	$50.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.90 / $62.10	Facility		$30.98	$37.90	$62.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $20.10 / $40.92	Professional		$17.32	$20.10	$40.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $43.86 / $52.64	Facility		$35.09	$43.86	$52.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $47.37 / $84.22	Professional		$45.62	$47.37	$84.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $44.25 / $200.27	Facility		$36.11	$44.25	$200.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.72 / $67.72	Professional		$17.82	$31.72	$67.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $50.87 / $200.27	Facility		$36.11	$50.87	$200.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.72 / $83.38	Professional		$17.82	$31.72	$83.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $31.58 / $43.42	Professional		$27.63	$31.58	$43.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $53.29	Professional		$14.74	$21.05	$53.29