Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $15.22 / $143.00	Facility		$5.04	$15.22	$143.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $26.54 / $36.19	Professional		$4.94	$26.54	$36.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $42.53 / $91.15	Professional		$32.28	$42.53	$91.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $20.21 / $110.25	Facility		$20.21	$20.21	$110.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $20.21 / $137.82	Professional		$6.62	$20.21	$137.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $5.97	Facility		$5.97	$5.97	$5.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.56 / $42.93	Professional		$19.00	$25.56	$42.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $5.97	Facility		$5.97	$5.97	$5.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.97 / $28.00	Professional		$19.57	$24.97	$28.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $23.82 / $31.59	Professional		$23.82	$23.82	$31.59
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $8.94 / $26.32	Professional		$4.88	$8.94	$26.32