Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.31 / $60.31 / $203.98	Facility		$60.31	$60.31	$203.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $60.31 / $75.97	Professional		$30.35	$60.31	$75.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.19 / $51.10 / $123.52	Professional		$39.19	$51.10	$123.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.49 / $95.02 / $141.13	Facility		$49.49	$95.02	$141.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $123.53 / $203.46	Professional		$104.52	$123.53	$203.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $111.35 / $111.35 / $111.35	Facility		$111.35	$111.35	$111.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Professional		$38.77	$38.77	$38.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $31.02 / $39.55	Professional		$23.97	$31.02	$39.55
United Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $46.98 / $60.31	Professional		$31.60	$46.98	$60.31