Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $57.73 / $181.30	Facility		$17.86	$57.73	$181.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $53.80 / $58.15	Professional		$47.27	$53.80	$58.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.05 / $110.18 / $285.45	Facility		$94.05	$110.18	$285.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $52.41 / $131.61	Professional		$50.18	$52.41	$131.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.62 / $100.16 / $135.22	Facility		$73.62	$100.16	$135.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $90.14 / $214.46	Professional		$65.09	$90.14	$214.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $112.17	Facility		$53.85	$53.85	$112.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $68.08 / $86.19	Professional		$39.31	$68.08	$86.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.85 / $53.85	Professional		$39.31	$53.85	$53.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $72.80 / $95.45	Professional		$52.95	$72.80	$95.45
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $47.03 / $69.18	Professional		$32.38	$47.03	$69.18