Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $42.58 / $134.00	Facility		$42.58	$42.58	$134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $42.58 / $56.04	Professional		$34.22	$42.58	$56.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $52.00 / $98.35	Professional		$42.67	$52.00	$98.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $92.85 / $114.99	Facility		$63.84	$92.85	$114.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $110.73 / $182.39	Professional		$93.70	$110.73	$182.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $80.53 / $80.53	Facility		$80.53	$80.53	$80.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $38.10 / $44.19	Professional		$30.48	$38.10	$44.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $40.72 / $54.07	Professional		$28.33	$40.72	$54.07