Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $104.00	Facility		$38.02	$38.02	$104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $38.02 / $57.23	Professional		$37.04	$38.02	$57.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $85.64 / $221.87	Facility		$73.09	$85.64	$221.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $45.57 / $102.76	Professional		$37.97	$45.57	$102.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $81.73 / $108.99	Facility		$58.39	$81.73	$108.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $77.84 / $166.69	Professional		$54.50	$77.84	$166.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $99.88	Facility		$50.36	$50.36	$99.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $64.33	Professional		$36.76	$36.76	$64.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Facility		$50.36	$50.36	$50.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $50.36 / $50.36	Professional		$36.76	$50.36	$50.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $45.40 / $59.52	Professional		$33.02	$45.40	$59.52
United Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $38.84 / $59.85	Professional		$25.89	$38.84	$59.85