Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $106.24 / $5,968.25	Facility		$48.96	$106.24	$5,968.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $49.45 / $110.54	Professional		$48.96	$49.45	$110.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.88 / $78.83 / $139.54	Facility		$52.88	$78.83	$139.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $84.77	Professional		$48.96	$48.96	$84.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $48.96 / $73.43	Facility		$48.03	$48.96	$73.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $48.96 / $66.09	Professional		$48.03	$48.96	$66.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $46.19 / $48.96	Facility		$46.19	$46.19	$48.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $113.74	Professional		$48.96	$48.96	$113.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $95.11 / $127.50	Facility		$68.06	$95.11	$127.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $113.74	Professional		$48.96	$48.96	$113.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $61.20 / $70.10	Professional		$53.18	$61.20	$70.10
United Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Facility		$48.96	$48.96	$48.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $58.75	Professional		$48.96	$48.96	$58.75