Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.90 / $110.22 / $180.57	Facility		$46.90	$110.22	$180.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $46.90 / $84.63	Professional		$40.79	$46.90	$84.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.76 / $63.31 / $103.74	Facility		$51.76	$63.31	$103.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $30.48 / $83.38	Professional		$23.45	$30.48	$83.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $73.28 / $87.93	Facility		$58.62	$73.28	$87.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $79.14 / $140.69	Professional		$76.20	$79.14	$140.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $66.68 / $334.52	Facility		$52.31	$66.68	$334.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $44.40 / $113.31	Professional		$26.75	$44.40	$113.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $66.68 / $334.52	Facility		$52.31	$66.68	$334.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $42.30 / $113.31	Professional		$26.75	$42.30	$113.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $52.76 / $72.55	Professional		$46.16	$52.76	$72.55
United Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $21.10 / $52.76	Facility		$21.10	$21.10	$52.76
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $35.17 / $94.55	Professional		$24.62	$35.17	$94.55