Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $51.10 / $185.00	Facility		$46.45	$51.10	$185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $46.45 / $120.00	Professional		$42.29	$46.45	$120.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $132.24 / $199.22	Professional		$99.18	$132.24	$199.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $46.69 / $59.51	Facility		$30.27	$46.69	$59.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $57.23	Professional		$50.59	$50.59	$57.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $58.59 / $96.14	Professional		$41.20	$58.59	$96.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $59.51 / $96.14	Professional		$42.80	$59.51	$96.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $53.52 / $92.23	Professional		$39.04	$53.52	$92.23