Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $74.95 / $252.58	Facility		$26.43	$74.95	$252.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $55.73 / $85.93	Professional		$25.15	$55.73	$85.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $54.19 / $105.75	Professional		$23.54	$54.19	$105.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $29.35 / $36.69	Facility		$24.46	$29.35	$36.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $98.84 / $125.21	Professional		$76.03	$98.84	$125.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $42.21	Facility		$42.21	$42.21	$42.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $73.37 / $128.52	Professional		$27.80	$73.37	$128.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $42.21	Facility		$42.21	$42.21	$42.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $73.56 / $127.73	Professional		$28.13	$73.56	$127.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $106.60 / $152.32	Professional		$77.69	$106.60	$152.32
United Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $91.54 / $153.83	Professional		$62.65	$91.54	$153.83