Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $107.59 / $197.00	Facility		$39.65	$107.59	$197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $110.26	Professional		$39.65	$39.65	$110.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $62.38 / $111.99	Facility		$37.56	$62.38	$111.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $37.07 / $64.61	Professional		$32.81	$37.07	$64.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $28.56	Facility		$16.80	$16.80	$28.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $52.66	Professional		$42.14	$42.14	$52.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $111.54	Facility		$42.14	$42.14	$111.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $52.66	Professional		$42.14	$42.14	$52.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $43.47 / $50.43	Professional		$38.25	$43.47	$50.43
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $44.68	Professional		$41.31	$41.31	$44.68