Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $76.09 / $558.82	Facility		$23.13	$76.09	$558.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $55.92 / $85.07	Professional		$23.02	$55.92	$85.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $24.27 / $47.27	Professional		$23.17	$24.27	$47.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $26.69 / $33.38	Facility		$22.48	$26.69	$33.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $67.88 / $73.31	Professional		$54.30	$67.88	$73.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $62.45 / $117.13	Professional		$23.06	$62.45	$117.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $66.25 / $118.57	Professional		$23.06	$66.25	$118.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $73.55 / $102.02	Professional		$54.68	$73.55	$102.02
United Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $82.93 / $141.97	Professional		$60.72	$82.93	$141.97