Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $78.00 / $120.12	Facility		$31.20	$78.00	$120.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $31.20 / $43.53	Professional		$31.20	$31.20	$43.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $42.90 / $69.02	Facility		$34.44	$42.90	$69.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $15.60 / $39.00	Professional		$15.60	$15.60	$39.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $39.00 / $52.65	Facility		$23.76	$39.00	$52.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $50.70 / $52.65	Professional		$33.15	$50.70	$52.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $40.15 / $82.13	Facility		$21.89	$40.15	$82.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $20.36 / $56.27	Professional		$12.46	$20.36	$56.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $40.15 / $133.09	Facility		$21.89	$40.15	$133.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $18.36 / $26.33	Professional		$12.46	$18.36	$26.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $32.17 / $46.80	Professional		$29.25	$32.17	$46.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $17.17 / $46.80	Professional		$11.50	$17.17	$46.80