Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.88 / $145.29 / $253.05	Facility		$54.88	$145.29	$253.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $54.88 / $99.03	Professional		$54.88	$54.88	$99.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.57 / $74.09 / $121.40	Facility		$60.57	$74.09	$121.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $50.51 / $117.93	Professional		$38.86	$50.51	$117.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $85.75 / $102.90	Facility		$68.59	$85.75	$102.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $92.61 / $164.64	Professional		$89.18	$92.61	$164.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $78.03 / $391.50	Facility		$70.59	$78.03	$391.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $61.87 / $132.75	Professional		$34.84	$61.87	$132.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $78.03 / $391.50	Facility		$70.59	$78.03	$391.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $61.87 / $162.41	Professional		$34.84	$61.87	$162.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $61.74 / $84.89	Professional		$54.02	$61.74	$84.89
United Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $68.59 / $124.92	Professional		$41.16	$68.59	$124.92