Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $14.78 / $14.78	Facility		$14.78	$14.78	$14.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.78 / $19.17	Professional		$10.54	$14.78	$19.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $140.69 / $288.27	Professional		$105.84	$140.69	$288.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $219.71 / $484.65	Facility		$14.65	$219.71	$484.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $247.17 / $436.19	Professional		$16.48	$247.17	$436.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $17.53	Facility		$17.53	$17.53	$17.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $14.36 / $73.26	Professional		$11.49	$14.36	$73.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $17.53	Facility		$17.53	$17.53	$17.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $14.36 / $24.71	Professional		$11.49	$14.36	$24.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $18.05 / $32.53	Professional		$13.02	$18.05	$32.53