Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $91.10 / $196.00	Facility		$41.98	$91.10	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $43.24 / $91.10	Professional		$41.98	$43.24	$91.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.34 / $73.31 / $120.48	Facility		$45.34	$73.31	$120.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $72.69	Professional		$41.98	$41.98	$72.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $41.98 / $71.37	Facility		$41.98	$41.98	$71.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $56.67	Professional		$41.98	$41.98	$56.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $39.61 / $41.98	Facility		$39.61	$39.61	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $62.20	Professional		$41.98	$41.98	$62.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $41.28 / $41.98	Facility		$39.61	$41.28	$41.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $62.20	Professional		$41.98	$41.98	$62.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $52.47 / $60.84	Professional		$46.15	$52.47	$60.84
United Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $45.41	Professional		$41.98	$41.98	$45.41