Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $111.35 / $186.49	Facility		$28.89	$111.35	$186.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $50.72 / $142.00	Professional		$28.88	$50.72	$142.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $51.59 / $136.66	Professional		$26.35	$51.59	$136.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $30.17 / $43.93	Facility		$30.17	$30.17	$43.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $124.93 / $141.96	Professional		$46.64	$124.93	$141.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $82.56	Facility		$50.93	$50.93	$82.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $66.29 / $171.06	Professional		$31.28	$66.29	$171.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $82.56	Facility		$50.93	$50.93	$82.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $66.29 / $176.03	Professional		$32.54	$66.29	$176.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $145.13 / $203.88	Professional		$108.45	$145.13	$203.88
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $80.63 / $170.82	Professional		$50.71	$80.63	$170.82