Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $94.77 / $333.71	Facility		$19.70	$94.77	$333.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $49.54 / $71.18	Professional		$16.86	$49.54	$71.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $44.60 / $92.61	Professional		$16.32	$44.60	$92.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $20.17 / $25.22	Facility		$16.80	$20.17	$25.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $90.43 / $114.56	Professional		$69.56	$90.43	$114.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $61.13 / $114.77	Professional		$19.23	$61.13	$114.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $81.54	Facility		$28.89	$28.89	$81.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $61.13 / $112.56	Professional		$19.32	$61.13	$112.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $70.21 / $102.15	Professional		$50.97	$70.21	$102.15
United Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $77.04 / $132.65	Professional		$54.82	$77.04	$132.65