Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $49.38 / $130.00	Facility		$49.38	$49.38	$130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $49.38 / $56.58	Professional		$43.22	$49.38	$56.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $101.12 / $262.00	Facility		$86.32	$101.12	$262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $48.09 / $120.79	Professional		$44.84	$48.09	$120.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $91.93 / $124.11	Facility		$68.95	$91.93	$124.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $83.21 / $196.84	Professional		$60.10	$83.21	$196.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $108.35	Facility		$57.03	$57.03	$108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $41.63 / $57.03	Professional		$41.63	$41.63	$57.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $57.03	Facility		$57.03	$57.03	$57.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $57.03 / $57.03	Professional		$41.63	$57.03	$57.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $36.50 / $47.86	Professional		$26.55	$36.50	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $43.95 / $63.15	Professional		$30.58	$43.95	$63.15