Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $136.24 / $215.78	Facility		$51.84	$136.24	$215.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $144.12	Professional		$51.84	$51.84	$144.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $126.36 / $351.00	Facility		$81.00	$126.36	$351.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $35.46 / $81.73	Professional		$35.46	$35.46	$81.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $8.25 / $14.03	Facility		$8.25	$8.25	$14.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $8.25 / $8.25	Professional		$8.25	$8.25	$8.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $86.66	Professional		$55.08	$55.08	$86.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $86.66	Professional		$55.08	$55.08	$86.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $44.32 / $51.41	Professional		$39.00	$44.32	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $58.41	Professional		$54.00	$54.00	$58.41