Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $70.00 / $150.13	Facility		$32.56	$70.00	$150.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $32.56 / $58.75	Professional		$25.51	$32.56	$58.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $43.96 / $72.03	Facility		$35.94	$43.96	$72.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $21.81 / $98.59	Professional		$16.28	$21.81	$98.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $50.88 / $61.05	Facility		$40.70	$50.88	$61.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $54.95 / $97.68	Professional		$52.91	$54.95	$97.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $46.31 / $232.32	Facility		$36.33	$46.31	$232.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $27.82 / $79.11	Professional		$17.03	$27.82	$79.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $46.31 / $232.32	Facility		$36.33	$46.31	$232.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $26.48 / $79.11	Professional		$16.86	$26.48	$79.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $36.63 / $50.37	Professional		$32.05	$36.63	$50.37
United Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $40.70 / $61.05	Professional		$22.45	$40.70	$61.05