Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $61.13 / $4,787.39	Facility		$26.59	$61.13	$4,787.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $26.61	Professional		$19.00	$19.00	$26.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $30.59 / $47.50	Facility		$20.52	$30.59	$47.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $21.98 / $32.52	Professional		$19.00	$21.98	$32.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $31.35	Facility		$19.00	$19.00	$31.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $25.65	Professional		$19.00	$19.00	$25.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $19.00 / $37.97	Facility		$13.34	$19.00	$37.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $36.49	Professional		$19.00	$19.00	$36.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $102.63 / $233.05	Facility		$26.37	$102.63	$233.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $58.96	Professional		$19.00	$19.00	$58.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $27.39 / $36.28	Professional		$20.90	$27.39	$36.28
United Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $23.27	Professional		$19.00	$19.00	$23.27