Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $45.72 / $702.18	Facility		$27.47	$45.72	$702.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $27.47 / $37.07	Professional		$13.52	$27.47	$37.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $23.40 / $56.85	Professional		$19.20	$23.40	$56.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $51.92 / $64.27	Facility		$43.27	$51.92	$64.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $56.25 / $92.65	Professional		$47.60	$56.25	$92.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Facility		$50.71	$50.71	$50.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $38.70 / $44.89	Professional		$30.96	$38.70	$44.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $19.64	Professional		$15.00	$15.00	$19.64