Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.41 / $84.00 / $84.00	Facility		$31.41	$84.00	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $30.07 / $35.90	Professional		$15.60	$30.07	$35.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $31.38 / $55.69	Professional		$21.63	$31.38	$55.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $49.01 / $764.48	Facility		$28.18	$49.01	$764.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $562.33 / $992.36	Professional		$35.94	$562.33	$992.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $39.43 / $39.43	Facility		$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $25.72 / $155.93	Professional		$21.47	$25.72	$155.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $39.43 / $39.43	Facility		$39.43	$39.43	$39.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $52.58 / $155.93	Professional		$52.58	$52.58	$155.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $21.50 / $25.30	Professional		$21.50	$21.50	$25.30
United Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $39.20 / $74.91	Professional		$26.04	$39.20	$74.91