Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $78.66 / $9,744.87	Facility		$31.09	$78.66	$9,744.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $31.39 / $1,217.61	Professional		$28.02	$31.39	$1,217.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $32.86 / $51.03	Facility		$22.04	$32.86	$51.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.89 / $38.77	Professional		$20.41	$20.89	$38.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $20.89 / $31.60	Facility		$20.41	$20.89	$31.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.89 / $27.55	Professional		$20.41	$20.89	$27.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $20.41	Facility		$18.05	$18.05	$20.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $80.23	Professional		$20.41	$20.41	$80.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $59.65 / $59.65 / $59.65	Facility		$59.65	$59.65	$59.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $80.23	Professional		$20.41	$20.41	$80.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $26.11 / $29.59	Professional		$22.45	$26.11	$29.59
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $34.68 / $45.15	Professional		$34.68	$34.68	$45.15