Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $64.42 / $209.10	Facility		$8.85	$64.42	$209.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $62.05 / $71.47	Professional		$57.18	$62.05	$71.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.48 / $127.08 / $329.26	Facility		$108.48	$127.08	$329.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $61.22 / $150.18	Professional		$56.36	$61.22	$150.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $115.53 / $160.59	Facility		$86.65	$115.53	$160.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $109.20 / $247.37	Professional		$75.09	$109.20	$247.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $136.97	Facility		$66.37	$66.37	$136.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $84.79	Professional		$48.45	$48.45	$84.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Facility		$66.37	$66.37	$66.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $66.37 / $66.37	Professional		$48.45	$66.37	$66.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $67.39 / $88.35	Professional		$49.01	$67.39	$88.35
United Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $55.23 / $78.48	Professional		$38.42	$55.23	$78.48