Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $76.31 / $128.91	Facility		$28.41	$76.31	$128.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $29.74 / $52.21	Professional		$27.85	$29.74	$52.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $37.59 / $61.60	Facility		$30.74	$37.59	$61.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.20 / $93.82	Professional		$18.20	$24.20	$93.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $43.51 / $52.22	Facility		$34.81	$43.51	$52.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $46.99 / $83.54	Professional		$45.25	$46.99	$83.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $43.90 / $198.69	Facility		$35.82	$43.90	$198.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $31.40 / $67.72	Professional		$16.35	$31.40	$67.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $43.90 / $198.69	Facility		$35.82	$43.90	$198.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $31.40 / $75.92	Professional		$16.35	$31.40	$75.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $31.33 / $43.08	Professional		$27.41	$31.33	$43.08
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.81 / $61.67	Professional		$20.89	$34.81	$61.67