Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $44.01 / $184.00	Facility		$37.17	$44.01	$184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $56.90 / $74.02	Professional		$43.61	$56.90	$74.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $64.73 / $95.93	Professional		$48.13	$64.73	$95.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $59.42 / $80.22	Facility		$44.57	$59.42	$80.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $79.09 / $79.09	Professional		$79.09	$79.09	$79.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $84.37 / $84.37	Facility		$84.37	$84.37	$84.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $75.47 / $132.30	Professional		$57.45	$75.47	$132.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $84.37 / $84.37	Facility		$84.37	$84.37	$84.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $77.22 / $119.11	Professional		$59.42	$77.22	$119.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $52.84 / $92.60	Professional		$43.26	$52.84	$92.60
Optum Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $66.76 / $110.14	Professional		$51.00	$66.76	$110.14
United Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $75.03 / $123.58	Professional		$52.17	$75.03	$123.58