Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $52.00 / $129.71	Facility		$38.49	$52.00	$129.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $50.00 / $52.00	Professional		$38.49	$50.00	$52.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $64.36 / $101.87	Facility		$57.28	$64.36	$101.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $58.50 / $94.05	Professional		$45.00	$58.50	$94.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $70.15 / $90.60	Facility		$51.00	$70.15	$90.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $79.30 / $130.61	Professional		$67.09	$79.30	$130.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $71.06 / $71.06	Facility		$71.06	$71.06	$71.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $52.01 / $68.54	Professional		$31.96	$52.01	$68.54
United Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Facility		$48.80	$48.80	$48.80
United Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $35.53 / $47.38	Professional		$23.69	$35.53	$47.38