Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $36.04 / $98.00	Facility		$36.04	$36.04	$98.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $36.04 / $61.63	Professional		$35.92	$36.04	$61.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.30 / $81.18 / $210.33	Facility		$69.30	$81.18	$210.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $43.18 / $96.97	Professional		$35.99	$43.18	$96.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $73.80 / $99.63	Facility		$54.99	$73.80	$99.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $66.42 / $158.02	Professional		$47.97	$66.42	$158.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $96.46	Facility		$45.81	$45.81	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $58.52	Professional		$33.44	$33.44	$58.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $45.81	Facility		$45.81	$45.81	$45.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $45.81 / $45.81	Professional		$33.44	$45.81	$45.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $43.04 / $56.42	Professional		$31.30	$43.04	$56.42
United Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $36.82 / $56.36	Professional		$24.54	$36.82	$56.36