Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $52.86 / $183.00	Facility		$52.86	$52.86	$183.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $52.86 / $60.61	Professional		$46.06	$52.86	$60.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.41 / $108.25 / $280.47	Facility		$92.41	$108.25	$280.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $53.28 / $127.93	Professional		$48.00	$53.28	$127.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $98.41 / $137.77	Facility		$73.81	$98.41	$137.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $98.41 / $210.72	Professional		$63.97	$98.41	$210.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $116.41	Facility		$65.90	$65.90	$116.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $48.11 / $81.81	Professional		$48.11	$48.11	$81.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $65.90 / $65.90	Professional		$48.11	$65.90	$65.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $57.39 / $75.24	Professional		$41.74	$57.39	$75.24
United Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $47.05 / $66.06	Professional		$32.72	$47.05	$66.06