Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $117.50 / $277.30	Facility		$43.34	$117.50	$277.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $55.10 / $91.93	Professional		$53.10	$55.10	$91.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $132.21 / $367.25	Facility		$84.75	$132.21	$367.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $65.37 / $119.21	Professional		$54.48	$65.37	$119.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $57.09 / $68.51	Facility		$45.67	$57.09	$68.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $59.37 / $109.61	Professional		$45.67	$59.37	$109.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $66.38	Professional		$56.42	$56.42	$66.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.77 / $110.35 / $294.52	Facility		$31.77	$110.35	$294.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $66.38	Professional		$56.42	$56.42	$66.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $78.59	Professional		$56.50	$56.50	$78.59