Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $50.44 / $84.00	Facility		$50.44	$50.44	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $50.44 / $57.78	Professional		$44.14	$50.44	$57.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $103.30 / $267.64	Facility		$88.18	$103.30	$267.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $50.86 / $124.51	Professional		$38.93	$50.86	$124.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $93.91 / $126.78	Facility		$70.43	$93.91	$126.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $84.99 / $201.08	Professional		$61.38	$84.99	$201.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $110.66	Facility		$58.60	$58.60	$110.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $75.29	Professional		$42.78	$42.78	$75.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $58.60 / $58.60	Professional		$42.78	$58.60	$58.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $62.10 / $81.42	Professional		$45.16	$62.10	$81.42
United Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $44.59 / $63.08	Professional		$31.24	$44.59	$63.08