Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $53.14 / $134.00	Facility		$53.14	$53.14	$134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $53.14 / $66.38	Professional		$40.64	$53.14	$66.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $45.04 / $108.83	Professional		$34.54	$45.04	$108.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.63 / $83.72 / $124.35	Facility		$43.63	$83.72	$124.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $108.84 / $179.26	Professional		$92.09	$108.84	$179.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $34.15	Professional		$34.15	$34.15	$34.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $27.34 / $34.86	Professional		$21.13	$27.34	$34.86
United Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $40.46 / $57.56	Professional		$27.80	$40.46	$57.56