Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.18 / $51.18 / $163.00	Facility		$51.18	$51.18	$163.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $51.18 / $55.64	Professional		$45.26	$51.18	$55.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.48 / $104.82 / $271.58	Facility		$89.48	$104.82	$271.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $49.30 / $123.87	Professional		$46.47	$49.30	$123.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $95.29 / $130.22	Facility		$71.47	$95.29	$130.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $95.29 / $204.03	Professional		$66.70	$95.29	$204.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $127.18	Facility		$61.62	$61.62	$127.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $44.98 / $78.72	Professional		$44.98	$44.98	$78.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $61.62	Facility		$61.62	$61.62	$61.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $61.62 / $61.62	Professional		$44.98	$61.62	$61.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $55.56 / $72.84	Professional		$40.40	$55.56	$72.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $43.99 / $61.18	Professional		$30.59	$43.99	$61.18