Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $112.59 / $360.00	Facility		$39.42	$112.59	$360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $34.24 / $112.59	Professional		$33.40	$34.24	$112.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $45.10 / $73.90	Facility		$36.86	$45.10	$73.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $26.80 / $60.96	Professional		$20.62	$26.80	$60.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $52.20 / $62.64	Facility		$41.76	$52.20	$62.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $56.38 / $100.22	Professional		$54.29	$56.38	$100.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.96 / $52.65 / $238.29	Facility		$42.96	$52.65	$238.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $36.72 / $81.13	Professional		$21.30	$36.72	$81.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.96 / $75.70 / $281.50	Facility		$42.96	$75.70	$281.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $37.68 / $98.94	Professional		$21.30	$37.68	$98.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $37.58 / $51.67	Professional		$32.88	$37.58	$51.67
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $25.06 / $61.25	Professional		$17.54	$25.06	$61.25