Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $87.20 / $128.63	Facility		$33.40	$87.20	$128.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $33.40 / $60.29	Professional		$33.40	$33.40	$60.29
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 / $25.77 / $60.96	Professional		$20.62	$25.77	$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 / $47.50 / $238.29	Facility		$42.96	$47.50	$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 / $47.50 / $238.29	Facility		$42.96	$47.50	$238.29
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 Facility Modifier Low / Median / High Price $15.03 / $15.03 / $37.58	Facility		$15.03	$15.03	$37.58
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $25.06 / $60.84	Professional		$17.54	$25.06	$60.84