Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $47.76 / $139.00	Facility		$47.76	$47.76	$139.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $47.76 / $51.67	Professional		$37.06	$47.76	$51.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.50 / $97.81 / $253.42	Facility		$83.50	$97.81	$253.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $45.68 / $115.59	Professional		$43.39	$45.68	$115.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.80 / $88.92 / $120.04	Facility		$57.80	$88.92	$120.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $80.03 / $190.40	Professional		$57.80	$80.03	$190.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $102.27	Facility		$54.54	$54.54	$102.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $69.67	Professional		$39.81	$39.81	$69.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $54.54	Facility		$54.54	$54.54	$54.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.54 / $54.54	Professional		$39.81	$54.54	$54.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $51.86 / $67.99	Professional		$37.72	$51.86	$67.99
United Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $41.76 / $57.29	Professional		$27.26	$41.76	$57.29