Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.95 / $34.93 / $99.00	Facility		$25.95	$34.93	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $25.95 / $35.54	Professional		$24.12	$25.95	$35.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $114.94 / $205.19	Professional		$84.23	$114.94	$205.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $16.96 / $38.77	Facility		$9.67	$16.96	$38.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $18.28 / $32.63	Professional		$10.43	$18.28	$32.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $33.28 / $33.76	Facility		$31.11	$33.28	$33.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $37.27 / $66.56	Professional		$24.87	$37.27	$66.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $33.28 / $33.76	Facility		$31.11	$33.28	$33.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $36.54 / $62.87	Professional		$25.14	$36.54	$62.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.74 / $87.42	Professional		$6.76	$8.74	$87.42
United Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $79.79 / $117.22	Facility		$17.85	$79.79	$117.22
United Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $113.08 / $193.02	Professional		$45.18	$113.08	$193.02