Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $69.09 / $123.46	Facility		$33.47	$69.09	$123.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $26.78 / $80.34	Professional		$23.91	$26.78	$80.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $36.15 / $59.23	Facility		$29.55	$36.15	$59.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $17.91 / $48.27	Professional		$14.22	$17.91	$48.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $41.84 / $50.21	Facility		$33.47	$41.84	$50.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $45.18 / $80.33	Professional		$43.51	$45.18	$80.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $42.21 / $191.05	Facility		$29.88	$42.21	$191.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $25.94 / $65.03	Professional		$15.36	$25.94	$65.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $45.71 / $147.06	Facility		$26.65	$45.71	$147.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $24.90 / $65.03	Professional		$15.36	$24.90	$65.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $30.12 / $41.41	Professional		$26.35	$30.12	$41.41
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $33.47 / $48.77	Professional		$20.07	$33.47	$48.77