Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $62.04 / $91.40	Facility		$23.74	$62.04	$91.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $23.74 / $29.68	Professional		$23.74	$23.74	$29.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $32.65 / $52.52	Facility		$26.21	$32.65	$52.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $32.61	Professional		$14.66	$14.66	$32.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.82 / $29.68 / $40.07	Facility		$23.82	$29.68	$40.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $38.58 / $40.07	Professional		$25.23	$38.58	$40.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $30.56 / $124.27	Facility		$19.29	$30.56	$124.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $23.82 / $43.20	Professional		$15.03	$23.82	$43.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $30.56 / $124.27	Facility		$19.29	$30.56	$124.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $19.29 / $39.85	Professional		$15.03	$19.29	$39.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $26.71 / $36.72	Professional		$22.26	$26.71	$36.72
United Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $35.61 / $35.61	Facility		$35.61	$35.61	$35.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $17.80 / $43.24	Professional		$12.47	$17.80	$43.24