Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $51.68 / $257.18	Facility		$23.24	$51.68	$257.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $19.14 / $51.68	Professional		$18.59	$19.14	$51.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $32.96 / $55.40	Facility		$18.72	$32.96	$55.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $35.32	Professional		$18.59	$18.59	$35.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $18.59 / $28.07	Facility		$18.59	$18.59	$28.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $25.10	Professional		$18.59	$18.59	$25.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $18.59	Facility		$17.54	$17.54	$18.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $45.61	Professional		$18.59	$18.59	$45.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $54.75 / $133.77	Facility		$16.54	$54.75	$133.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $45.61	Professional		$18.59	$18.59	$45.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $23.40 / $27.14	Professional		$20.44	$23.40	$27.14
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $24.20	Professional		$18.59	$18.59	$24.20