Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $343.56 / $1,379.23	Facility		$20.73	$343.56	$1,379.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.84 / $667.15	Professional		$18.10	$18.84	$667.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $31.63 / $51.98	Facility		$19.55	$31.63	$51.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $30.53	Professional		$18.11	$18.11	$30.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $18.11 / $27.23	Facility		$18.03	$18.11	$27.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $18.11 / $24.45	Professional		$18.03	$18.11	$24.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $17.07 / $18.11	Facility		$17.07	$17.07	$18.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $28.49	Professional		$18.11	$18.11	$28.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $18.11 / $50.13	Facility		$17.07	$18.11	$50.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $28.49	Professional		$18.11	$18.11	$28.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.83 / $22.63 / $26.14	Professional		$19.83	$22.63	$26.14
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $23.72	Professional		$18.11	$18.11	$23.72