Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $40.32 / $116.00	Facility		$6.63	$40.32	$116.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $40.32 / $52.16	Professional		$35.29	$40.32	$52.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $82.58 / $213.95	Facility		$70.48	$82.58	$213.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $39.27 / $99.09	Professional		$36.61	$39.27	$99.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $75.06 / $101.34	Facility		$56.30	$75.06	$101.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.93 / $160.74	Professional		$49.06	$67.93	$160.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $88.45	Facility		$41.91	$41.91	$88.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $53.54	Professional		$30.59	$30.59	$53.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Facility		$41.91	$41.91	$41.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.91 / $41.91	Professional		$30.59	$41.91	$41.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $21.14 / $27.71	Professional		$15.37	$21.14	$27.71
United Facility/Professional Facility Modifier Low / Median / High Price $76.02 / $76.02 / $89.43	Facility		$76.02	$76.02	$89.43
United Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $36.09 / $51.21	Professional		$24.97	$36.09	$51.21