Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $103.14 / $191.00	Facility		$47.53	$103.14	$191.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.86 / $5,153.75	Professional		$47.53	$48.86	$5,153.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $76.52 / $136.38	Facility		$51.32	$76.52	$136.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $82.30	Professional		$47.53	$47.53	$82.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $47.53 / $80.80	Facility		$47.53	$47.53	$80.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $64.17	Professional		$47.53	$47.53	$64.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $44.83 / $47.52	Facility		$44.83	$44.83	$47.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $155.87	Professional		$47.52	$47.52	$155.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Facility		$98.16	$98.16	$98.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $155.87	Professional		$47.52	$47.52	$155.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.86 / $60.47 / $69.68	Professional		$52.86	$60.47	$69.68
United Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $47.53 / $47.53	Facility		$47.53	$47.53	$47.53
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $53.23 / $60.27	Professional		$47.53	$53.23	$60.27