Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $39.03 / $176.00	Facility		$39.03	$39.03	$176.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $39.03 / $54.52	Professional		$38.77	$39.03	$54.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $90.58 / $147.69	Professional		$70.91	$90.58	$147.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $138.40 / $242.20	Facility		$73.26	$138.40	$242.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $117.64 / $145.32	Professional		$56.93	$117.64	$145.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $91.13	Facility		$47.13	$47.13	$91.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $47.13	Professional		$34.40	$34.40	$47.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $47.13 / $47.13	Professional		$34.40	$47.13	$47.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $112.77 / $133.27	Professional		$102.52	$112.77	$133.27
United Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $46.92 / $77.27	Professional		$31.16	$46.92	$77.27