Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $70.09 / $81.20	Professional		$43.99	$70.09	$81.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $27.37 / $91.62	Professional		$20.30	$27.37	$91.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $91.99 / $91.99	Facility		$72.18	$91.99	$91.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $78.19 / $78.19	Professional		$78.19	$78.19	$78.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $63.24 / $63.24	Facility		$31.54	$63.24	$63.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $70.76 / $123.04	Professional		$37.39	$70.76	$123.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $63.24 / $63.24	Facility		$40.53	$63.24	$63.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $70.76 / $123.04	Professional		$37.39	$70.76	$123.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $70.91 / $104.07	Professional		$47.78	$70.91	$104.07
United Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $53.12 / $106.90	Professional		$21.93	$53.12	$106.90