Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $98.35 / $158.04	Facility		$41.87	$98.35	$158.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $41.05 / $74.06	Professional		$41.05	$41.05	$74.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $55.41 / $90.80	Facility		$45.31	$55.41	$90.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $30.91 / $82.12	Professional		$25.34	$30.91	$82.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.78 / $59.01 / $76.97	Facility		$47.78	$59.01	$76.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $69.27 / $123.14	Professional		$66.70	$69.27	$123.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.79 / $58.36 / $292.81	Facility		$52.79	$58.36	$292.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $47.01 / $109.52	Professional		$26.09	$47.01	$109.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.79 / $58.36 / $292.81	Facility		$52.79	$58.36	$292.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $47.07 / $109.52	Professional		$26.09	$47.07	$109.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $46.17 / $63.49	Professional		$40.40	$46.17	$63.49
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $67.91	Professional		$21.55	$30.79	$67.91