Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $151.30 / $243.39	Facility		$48.73	$151.30	$243.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $49.62 / $62.37	Professional		$43.64	$49.62	$62.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $74.23 / $108.84	Professional		$62.13	$74.23	$108.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.56 / $46.56 / $76.81	Facility		$46.56	$46.56	$76.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $46.56 / $46.56	Professional		$46.56	$46.56	$46.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $70.36 / $127.38	Professional		$62.13	$70.36	$127.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $64.56 / $124.88	Professional		$54.78	$64.56	$124.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $74.24 / $93.10	Professional		$64.56	$74.24	$93.10
United Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $73.09 / $86.98	Professional		$69.44	$73.09	$86.98