Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $97.05 / $819.00	Facility		$32.54	$97.05	$819.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $75.17	Professional		$28.80	$28.80	$75.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $70.20 / $195.00	Facility		$45.00	$70.20	$195.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $28.96 / $59.86	Professional		$23.94	$28.96	$59.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $33.53 / $40.22	Facility		$26.82	$33.53	$40.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $34.86 / $62.19	Professional		$26.82	$34.86	$62.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Facility		$30.60	$30.60	$30.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $36.00	Professional		$30.60	$30.60	$36.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $403.12 / $499.27	Facility		$121.58	$403.12	$499.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $45.85	Professional		$30.60	$30.60	$45.85
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 $30.00 / $30.00 / $37.22	Professional		$30.00	$30.00	$37.22