Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $44.40 / $110.47	Facility		$15.77	$44.40	$110.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $36.85 / $96.35	Professional		$35.52	$36.85	$96.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $86.58 / $240.50	Facility		$55.50	$86.58	$240.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $57.87 / $78.06	Professional		$51.89	$57.87	$78.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $47.15 / $77.80	Facility		$47.15	$47.15	$77.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $47.15 / $47.15	Professional		$47.15	$47.15	$47.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Facility		$37.74	$37.74	$37.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $37.74 / $61.75	Professional		$37.74	$37.74	$61.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $18.84 / $32.06	Facility		$12.85	$18.84	$32.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $37.74 / $65.84	Professional		$37.74	$37.74	$65.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $30.31 / $35.16	Professional		$26.67	$30.31	$35.16
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $51.47	Professional		$37.00	$37.00	$51.47