Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.59 / $100.72 / $160.63	Facility		$38.59	$100.72	$160.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $38.59 / $69.64	Professional		$24.82	$38.59	$69.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $52.10 / $85.37	Facility		$42.60	$52.10	$85.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $25.09 / $66.90	Professional		$19.30	$25.09	$66.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $60.30 / $72.36	Facility		$48.24	$60.30	$72.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $65.12 / $115.78	Professional		$62.71	$65.12	$115.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $60.84 / $275.33	Facility		$43.06	$60.84	$275.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $36.38 / $93.19	Professional		$22.12	$36.38	$93.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $60.84 / $275.33	Facility		$43.06	$60.84	$275.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $34.54 / $93.19	Professional		$22.12	$34.54	$93.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.98 / $43.41 / $59.69	Professional		$37.98	$43.41	$59.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $28.94 / $70.29	Professional		$20.26	$28.94	$70.29