Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $49.38 / $169.00	Facility		$49.38	$49.38	$169.00
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 / $119.50	Professional		$44.84	$48.09	$119.50
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 $51.32 / $51.32 / $108.35	Facility		$51.32	$51.32	$108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $37.46 / $65.56	Professional		$37.46	$37.46	$65.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $51.32	Facility		$51.32	$51.32	$51.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.32 / $51.32	Professional		$37.46	$51.32	$51.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $41.18 / $53.99	Professional		$29.95	$41.18	$53.99
United Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $45.46 / $61.74	Professional		$30.58	$45.46	$61.74