Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $85.84 / $174.73	Facility		$46.40	$85.84	$174.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $46.40 / $83.73	Professional		$19.10	$46.40	$83.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.21 / $62.64 / $102.64	Facility		$51.21	$62.64	$102.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $26.91 / $75.40	Professional		$19.72	$26.91	$75.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $72.50 / $87.00	Facility		$58.00	$72.50	$87.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $78.30 / $139.19	Professional		$75.40	$78.30	$139.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $59.72 / $331.01	Facility		$38.83	$59.72	$331.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $26.58 / $101.38	Professional		$12.77	$26.58	$101.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $59.72 / $331.01	Facility		$38.83	$59.72	$331.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $26.58 / $112.64	Professional		$12.56	$26.58	$112.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $52.20 / $71.77	Professional		$45.67	$52.20	$71.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $31.36 / $76.59	Professional		$12.29	$31.36	$76.59