Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $39.14 / $122.00	Facility		$39.14	$39.14	$122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $39.14 / $50.16	Professional		$33.59	$39.14	$50.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $80.17 / $207.71	Facility		$68.43	$80.17	$207.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $40.85 / $94.74	Professional		$35.54	$40.85	$94.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $72.88 / $98.39	Facility		$52.31	$72.88	$98.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $65.59 / $156.05	Professional		$47.37	$65.59	$156.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $90.45	Facility		$43.58	$43.58	$90.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $55.67	Professional		$31.81	$31.81	$55.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $43.58	Facility		$43.58	$43.58	$43.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $43.58 / $43.58	Professional		$31.81	$43.58	$43.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $42.50 / $55.72	Professional		$30.91	$42.50	$55.72
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $34.86 / $53.63	Professional		$24.24	$34.86	$53.63