Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $54.84 / $85.92	Facility		$25.27	$54.84	$85.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $27.07 / $75.25	Professional		$25.27	$27.07	$75.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $59.13 / $164.26	Facility		$37.90	$59.13	$164.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $42.60	Professional		$25.27	$25.27	$42.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $42.96	Facility		$25.27	$25.27	$42.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $34.11	Professional		$25.27	$25.27	$34.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $23.84 / $25.27	Facility		$23.84	$23.84	$25.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $56.73	Professional		$25.27	$25.27	$56.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $409.19 / $409.19 / $409.19	Facility		$409.19	$409.19	$409.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $56.73	Professional		$25.27	$25.27	$56.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $35.37 / $40.65	Professional		$29.77	$35.37	$40.65
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $27.33	Professional		$25.27	$25.27	$27.33