Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.64 / $64.34 / $291.00	Facility		$61.64	$64.34	$291.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $62.57 / $72.05	Professional		$48.70	$62.57	$72.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $64.61 / $101.14	Professional		$49.20	$64.61	$101.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.02 / $86.93 / $86.93	Facility		$79.02	$86.93	$86.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $70.95 / $85.67	Professional		$67.31	$70.95	$85.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $83.13 / $83.13	Facility		$83.13	$83.13	$83.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $86.20	Professional		$57.73	$57.73	$86.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $83.13 / $83.13	Facility		$83.13	$83.13	$83.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $63.61	Professional		$57.73	$57.73	$63.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $68.30 / $101.43	Professional		$52.54	$68.30	$101.43
United Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $79.89 / $130.11	Professional		$49.97	$79.89	$130.11