Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $38.13 / $132.00	Facility		$38.13	$38.13	$132.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $38.13 / $52.52	Professional		$37.17	$38.13	$52.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $85.90 / $222.56	Facility		$73.33	$85.90	$222.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $43.81 / $118.75	Professional		$39.11	$43.81	$118.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $78.09 / $105.42	Facility		$58.57	$78.09	$105.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $70.65 / $167.21	Professional		$51.03	$70.65	$167.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $91.99	Facility		$62.01	$62.01	$91.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $62.01	Professional		$52.71	$52.71	$62.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Facility		$62.01	$62.01	$62.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $62.01 / $62.01	Professional		$52.71	$62.01	$62.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.55 / $51.63 / $67.69	Professional		$37.55	$51.63	$67.69
United Facility/Professional Facility Modifier Low / Median / High Price $31.46 / $52.39 / $62.47	Facility		$31.46	$52.39	$62.47
United Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $38.96 / $53.64	Professional		$25.97	$38.96	$53.64