Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $26.72 / $139.36	Facility		$26.72	$26.72	$139.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $30.57 / $52.53	Professional		$26.72	$30.57	$52.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $55.06 / $142.63	Facility		$47.00	$55.06	$142.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $53.37 / $88.02	Professional		$44.11	$53.37	$88.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $50.12 / $70.06	Facility		$37.54	$50.12	$70.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $50.05 / $107.17	Professional		$35.04	$50.05	$107.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $68.69	Facility		$52.17	$52.17	$68.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $44.34 / $59.73	Professional		$44.34	$44.34	$59.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $52.17 / $52.17	Professional		$44.34	$52.17	$52.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $77.00 / $100.94	Professional		$56.00	$77.00	$100.94
United Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $44.11 / $63.08	Professional		$29.56	$44.11	$63.08