Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $95.72 / $146.88	Facility		$44.11	$95.72	$146.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $45.43 / $3,621.75	Professional		$44.10	$45.43	$3,621.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $71.02 / $110.28	Facility		$47.64	$71.02	$110.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $74.36	Professional		$44.11	$44.11	$74.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $44.49 / $66.13	Facility		$44.11	$44.49	$66.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.49 / $59.55	Professional		$44.11	$44.49	$59.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $41.61 / $44.11	Facility		$41.61	$41.61	$44.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $91.68	Professional		$44.11	$44.11	$91.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $67.02 / $136.22	Facility		$25.19	$67.02	$136.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $91.68	Professional		$44.11	$44.11	$91.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $55.61 / $63.95	Professional		$48.52	$55.61	$63.95
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $47.71	Professional		$44.11	$44.11	$47.71