Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.59 / $98.28 / $205.31	Facility		$61.59	$98.28	$205.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $66.69 / $138.93	Professional		$37.21	$66.69	$138.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.99 / $75.81 / $124.23	Facility		$61.99	$75.81	$124.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $90.99 / $170.03	Professional		$47.66	$90.99	$170.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $80.73 / $105.30	Facility		$70.20	$80.73	$105.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $91.26 / $153.46	Professional		$70.20	$91.26	$153.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $79.84 / $400.63	Facility		$72.23	$79.84	$400.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $64.45 / $118.80	Professional		$35.65	$64.45	$118.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $107.88 / $266.12	Facility		$61.01	$107.88	$266.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $64.45 / $116.83	Professional		$35.65	$64.45	$116.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $63.18 / $86.87	Professional		$55.28	$63.18	$86.87
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.12 / $92.90	Professional		$29.48	$42.12	$92.90