Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $171.00	Facility		$51.32	$51.32	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $51.32 / $66.38	Professional		$47.28	$51.32	$66.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.71 / $105.09 / $272.29	Facility		$89.71	$105.09	$272.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $55.94 / $124.20	Professional		$46.61	$55.94	$124.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $95.54 / $128.97	Facility		$71.66	$95.54	$128.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $95.54 / $204.57	Professional		$62.10	$95.54	$204.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $125.35	Facility		$61.81	$61.81	$125.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $45.12 / $61.81	Professional		$45.12	$45.12	$61.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $61.81	Facility		$61.81	$61.81	$61.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $61.81 / $61.81	Professional		$45.12	$61.81	$61.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $55.72 / $73.05	Professional		$40.52	$55.72	$73.05
United Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $47.66 / $69.23	Professional		$31.78	$47.66	$69.23