Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $43.73 / $121.00	Facility		$43.73	$43.73	$121.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $43.73 / $46.49	Professional		$36.09	$43.73	$46.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $89.55 / $232.02	Facility		$76.44	$89.55	$232.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $39.72 / $105.83	Professional		$38.79	$39.72	$105.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.21 / $81.41 / $109.90	Facility		$56.21	$81.41	$109.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $73.27 / $174.32	Professional		$52.92	$73.27	$174.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $89.06	Facility		$55.83	$55.83	$89.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $67.69	Professional		$40.76	$40.76	$67.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $55.83	Facility		$55.83	$55.83	$55.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $55.83 / $55.83	Professional		$40.76	$55.83	$55.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $47.48 / $62.25	Professional		$34.53	$47.48	$62.25
United Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $37.39 / $51.68	Professional		$25.47	$37.39	$51.68