Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $70.48 / $129.27	Facility		$31.29	$70.48	$129.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $31.29 / $39.11	Professional		$23.57	$31.29	$39.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $43.02 / $69.20	Facility		$34.53	$43.02	$69.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $39.11	Professional		$15.64	$15.64	$39.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $39.11 / $52.80	Facility		$22.62	$39.11	$52.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $50.84 / $52.80	Professional		$33.24	$50.84	$52.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $40.27 / $153.35	Facility		$25.42	$40.27	$153.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $25.17 / $56.27	Professional		$16.23	$25.17	$56.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $40.27 / $153.35	Facility		$25.42	$40.27	$153.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $20.36 / $34.19	Professional		$16.23	$20.36	$34.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $32.26 / $46.92	Professional		$29.33	$32.26	$46.92
United Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $21.51 / $46.93	Professional		$14.95	$21.51	$46.93