Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $93.33	Facility		$42.66	$64.57	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $83.18	Professional		$41.69	$48.98	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $177.83	Professional		$81.28	$112.20	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $154.88 / $269.15	Facility		$91.20	$154.88	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $186.21	Professional		$131.83	$131.83	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $69.18	Professional		$51.29	$51.29	$69.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $69.18	Professional		$51.29	$51.29	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $147.91	Professional		$112.20	$123.03	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $89.13	Facility		$44.67	$58.88	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $83.18	Professional		$34.67	$51.29	$83.18