Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $99.03 / $175.50	Facility		$51.31	$99.03	$175.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $94.92	Professional		$51.31	$51.31	$94.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $23.14 / $70.56	Professional		$20.52	$23.14	$70.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $66.70 / $87.23	Facility		$51.31	$66.70	$87.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $66.70 / $112.44	Professional		$51.31	$66.70	$112.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.36 / $64.70 / $345.91	Facility		$58.36	$64.70	$345.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.07 / $105.35 / $203.67	Facility		$44.07	$105.35	$203.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $51.31 / $51.31	Professional		$22.75	$51.31	$51.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $46.17 / $55.79	Professional		$40.40	$46.17	$55.79
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $67.22	Professional		$21.55	$30.79	$67.22