Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.35 / $49.98 / $168.43	Facility		$18.35	$49.98	$168.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $49.98 / $57.28	Professional		$43.75	$49.98	$57.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.38 / $102.37 / $265.22	Facility		$87.38	$102.37	$265.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $49.41 / $122.28	Professional		$45.41	$49.41	$122.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $93.06 / $125.63	Facility		$69.80	$93.06	$125.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $84.22 / $199.26	Professional		$60.83	$84.22	$199.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $109.67	Facility		$56.56	$56.56	$109.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $41.29 / $64.81	Professional		$41.29	$41.29	$64.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $64.81	Facility		$56.56	$56.56	$64.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $56.56 / $56.56	Professional		$41.29	$56.56	$56.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $69.30 / $90.85	Professional		$50.40	$69.30	$90.85
United Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $46.02 / $62.40	Professional		$30.96	$46.02	$62.40