Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.55 / $56.55 / $185.00	Facility		$56.55	$56.55	$185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $56.55 / $65.81	Professional		$52.10	$56.55	$65.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.86 / $115.81 / $300.05	Facility		$98.86	$115.81	$300.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $58.31 / $136.86	Professional		$52.73	$58.31	$136.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $105.28 / $145.53	Facility		$78.95	$105.28	$145.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $98.96 / $225.43	Professional		$68.43	$98.96	$225.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $125.48	Facility		$73.27	$73.27	$125.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $53.49 / $87.53	Professional		$53.49	$53.49	$87.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $73.27	Facility		$73.27	$73.27	$73.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $73.27 / $73.27	Professional		$53.49	$73.27	$73.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $61.38 / $80.46	Professional		$44.64	$61.38	$80.46
United Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $50.33 / $72.95	Professional		$35.01	$50.33	$72.95