Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $109.30 / $167.73	Facility		$50.37	$109.30	$167.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $51.88 / $109.30	Professional		$50.37	$51.88	$109.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.39 / $87.95 / $150.10	Facility		$54.39	$87.95	$150.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $84.92	Professional		$50.37	$50.37	$84.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $85.63	Facility		$50.37	$50.37	$85.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $68.00	Professional		$50.37	$50.37	$68.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $47.51 / $50.37	Facility		$47.51	$47.51	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $99.01	Professional		$50.37	$50.37	$99.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $50.37 / $50.37	Facility		$47.51	$50.37	$50.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $99.01	Professional		$50.37	$50.37	$99.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $70.51 / $83.83	Professional		$61.69	$70.51	$83.83
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $56.07 / $62.42	Professional		$50.37	$56.07	$62.42