Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $65.44 / $124.00	Facility		$38.72	$65.44	$124.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $41.22 / $55.90	Professional		$31.77	$41.22	$55.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $18.82 / $19.57	Facility		$18.82	$18.82	$19.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $15.24 / $32.42	Professional		$12.11	$15.24	$32.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $59,499.41 / $61,249.39	Facility		$43,749.56	$59,499.41	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $74.19 / $140.00	Facility		$65.00	$74.19	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $69.50 / $99.72	Professional		$47.29	$69.50	$99.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $74.19 / $140.00	Facility		$65.00	$74.19	$140.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $72.52 / $107.55	Professional		$50.62	$72.52	$107.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $55.42 / $72.51	Professional		$39.36	$55.42	$72.51