Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $106.49 / $191.38	Facility		$49.71	$106.49	$191.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $49.71 / $59.65	Professional		$49.71	$49.71	$59.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $68.34 / $109.97	Facility		$54.87	$68.34	$109.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $47.08 / $75.18	Professional		$28.73	$47.08	$75.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $65.25 / $83.89	Facility		$46.61	$65.25	$83.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $80.78 / $149.13	Professional		$52.82	$80.78	$149.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $63.98 / $220.61	Facility		$40.39	$63.98	$220.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $32.68 / $81.09	Professional		$32.68	$32.68	$81.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $63.98 / $240.23	Facility		$40.39	$63.98	$240.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $32.68 / $46.69	Professional		$32.68	$32.68	$46.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $33.60 / $79.81	Professional		$19.91	$33.60	$79.81