Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $54.15 / $146.00	Facility		$54.15	$54.15	$146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $54.15 / $57.57	Professional		$36.42	$54.15	$57.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $110.90 / $287.33	Facility		$94.67	$110.90	$287.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $49.18 / $131.06	Professional		$44.27	$49.18	$131.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.53 / $100.82 / $136.11	Facility		$65.53	$100.82	$136.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $90.74 / $215.88	Professional		$65.53	$90.74	$215.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $79.79	Facility		$65.20	$65.20	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $79.79	Professional		$47.60	$47.60	$79.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $79.79	Facility		$65.20	$65.20	$79.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $65.20	Professional		$47.60	$65.20	$65.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $58.80 / $77.09	Professional		$42.76	$58.80	$77.09
United Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $45.46 / $63.99	Professional		$26.98	$45.46	$63.99