Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $85.80 / $131.66	Facility		$39.54	$85.80	$131.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $40.02 / $98.85	Professional		$39.54	$40.02	$98.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.31 / $92.52 / $257.01	Facility		$59.31	$92.52	$257.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $75.12	Professional		$39.54	$39.54	$75.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.54 / $67.22	Facility		$39.54	$39.54	$67.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $53.38	Professional		$39.54	$39.54	$53.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $37.29 / $39.54	Facility		$37.29	$37.29	$39.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $115.55	Professional		$39.54	$39.54	$115.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $235.64 / $235.64 / $235.64	Facility		$235.64	$235.64	$235.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $115.55	Professional		$39.54	$39.54	$115.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $46.53 / $57.33	Professional		$40.11	$46.53	$57.33
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $51.80	Professional		$39.54	$39.54	$51.80