Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.72 / $155.72 / $155.72	Facility		$155.72	$155.72	$155.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $40.45 / $72.98	Professional		$10.84	$40.45	$72.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $23.45 / $59.91	Professional		$20.22	$23.45	$59.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $58.14 / $78.37	Facility		$42.98	$58.14	$78.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $68.26 / $121.34	Professional		$65.73	$68.26	$121.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.47 / $106.47 / $106.47	Facility		$106.47	$106.47	$106.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $21.20 / $88.11	Professional		$7.36	$21.20	$88.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $106.47 / $106.47 / $106.47	Facility		$106.47	$106.47	$106.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $22.98 / $88.11	Professional		$7.36	$22.98	$88.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $43.60 / $49.29	Professional		$37.92	$43.60	$49.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $50.56 / $85.95	Professional		$14.76	$50.56	$85.95