Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.91 / $110.00 / $220.00	Facility		$76.91	$110.00	$220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $78.61 / $94.12	Professional		$64.05	$78.61	$94.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $46.09 / $78.88	Professional		$34.00	$46.09	$78.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $78.54 / $59,499.41	Facility		$56.10	$78.54	$59,499.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Professional		$98.16	$98.16	$98.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Facility		$91.34	$91.34	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $90.00 / $154.52	Professional		$62.28	$90.00	$154.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Facility		$91.34	$91.34	$91.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $91.78 / $146.60	Professional		$65.64	$91.78	$146.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63
United Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $101.10 / $190.35	Professional		$66.43	$101.10	$190.35