Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.67 / $50.67 / $129.00	Facility		$50.67	$50.67	$129.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $50.67 / $53.88	Professional		$34.51	$50.67	$53.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.59 / $103.77 / $268.87	Facility		$88.59	$103.77	$268.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $46.00 / $122.64	Professional		$41.97	$46.00	$122.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.32 / $94.34 / $127.36	Facility		$61.32	$94.34	$127.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $86.00 / $202.00	Professional		$61.32	$86.00	$202.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $111.97	Facility		$52.95	$52.95	$111.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $67.64	Professional		$38.65	$38.65	$67.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $52.95	Facility		$52.95	$52.95	$52.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.95 / $52.95	Professional		$38.65	$52.95	$52.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $55.01 / $72.11	Professional		$40.00	$55.01	$72.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $45.59 / $59.88	Professional		$29.80	$45.59	$59.88