Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $49.44 / $129.00	Facility		$49.44	$49.44	$129.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $49.44 / $84.81	Professional		$48.19	$49.44	$84.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $111.38 / $288.56	Facility		$95.07	$111.38	$288.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $59.26 / $133.65	Professional		$49.39	$59.26	$133.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.94 / $101.25 / $140.28	Facility		$75.94	$101.25	$140.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $101.25 / $216.80	Professional		$70.88	$101.25	$216.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $136.99	Facility		$66.22	$66.22	$136.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $84.19	Professional		$48.34	$48.34	$84.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $66.22 / $66.22	Professional		$48.34	$66.22	$66.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $65.03 / $85.25	Professional		$47.29	$65.03	$85.25
United Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $50.51 / $77.83	Professional		$33.68	$50.51	$77.83