Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $182.33 / $567.00	Facility		$56.60	$182.33	$567.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $58.44 / $71.93	Professional		$49.17	$58.44	$71.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $67.29 / $123.09	Professional		$50.40	$67.29	$123.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $54.59 / $73.80	Facility		$41.00	$54.59	$73.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $72.79 / $72.79	Professional		$72.79	$72.79	$72.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $94.36 / $94.36	Facility		$94.36	$94.36	$94.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $61.77 / $116.48	Professional		$42.00	$61.77	$116.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $94.36 / $94.36	Facility		$94.36	$94.36	$94.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $61.29 / $114.10	Professional		$42.00	$61.29	$114.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $39.84 / $50.00	Professional		$22.71	$39.84	$50.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $52.75 / $57.97	Professional		$40.57	$52.75	$57.97
United Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $77.27 / $138.22	Professional		$53.75	$77.27	$138.22