Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.97 / $41.97 / $320.00	Facility		$41.97	$41.97	$320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $41.97 / $48.09	Professional		$36.72	$41.97	$48.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $85.95 / $222.70	Facility		$73.37	$85.95	$222.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $41.93 / $101.58	Professional		$38.11	$41.93	$101.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.61 / $78.14 / $105.49	Facility		$58.61	$78.14	$105.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $70.70 / $167.31	Professional		$51.07	$70.70	$167.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $92.08	Facility		$43.62	$43.62	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $31.84 / $55.72	Professional		$31.84	$31.84	$55.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $43.62	Facility		$43.62	$43.62	$43.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $43.62 / $43.62	Professional		$31.84	$43.62	$43.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $28.19 / $36.96	Professional		$20.50	$28.19	$36.96
United Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $37.10 / $52.48	Professional		$25.99	$37.10	$52.48