Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $64.95 / $159.82	Facility		$35.15	$64.95	$159.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $43.20 / $65.95	Professional		$32.65	$43.20	$65.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $41.31 / $72.05	Professional		$29.26	$41.31	$72.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $38.42 / $51.69	Facility		$34.79	$38.42	$51.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $60.97 / $77.59	Professional		$42.44	$60.97	$77.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $59.40 / $59.40	Facility		$59.40	$59.40	$59.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $60.97 / $113.70	Professional		$37.65	$60.97	$113.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $59.40 / $59.40	Facility		$59.40	$59.40	$59.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $60.97 / $101.03	Professional		$38.97	$60.97	$101.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $71.08 / $100.66	Professional		$53.47	$71.08	$100.66
United Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $65.83 / $118.12	Professional		$41.49	$65.83	$118.12