Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $115.69 / $414.00	Facility		$42.38	$115.69	$414.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $33.90 / $114.24	Professional		$33.15	$33.90	$114.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $45.77 / $75.00	Facility		$37.42	$45.77	$75.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $26.42 / $101.64	Professional		$19.72	$26.42	$101.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $52.98 / $63.57	Facility		$42.38	$52.98	$63.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $57.21 / $101.71	Professional		$55.09	$57.21	$101.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $48.21 / $241.89	Facility		$38.88	$48.21	$241.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $34.27 / $81.80	Professional		$19.32	$34.27	$81.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $61.45 / $241.89	Facility		$38.88	$61.45	$241.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $34.27 / $82.76	Professional		$19.32	$34.27	$82.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.37 / $38.14 / $52.45	Professional		$33.37	$38.14	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $42.38 / $72.05	Professional		$25.43	$42.38	$72.05