Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $70.95 / $70.95	Facility		$70.95	$70.95	$70.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $18.43 / $33.26	Professional		$18.43	$18.43	$33.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.80 / $36.88	Professional		$11.48	$14.80	$36.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $26.50 / $35.71	Facility		$19.57	$26.50	$35.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $31.10 / $55.30	Professional		$29.95	$31.10	$55.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.54 / $48.54 / $48.54	Facility		$48.54	$48.54	$48.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $20.86 / $47.92	Professional		$10.57	$20.86	$47.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.54 / $48.54 / $48.54	Facility		$48.54	$48.54	$48.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $20.73 / $47.92	Professional		$10.57	$20.73	$47.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $19.00 / $22.46	Professional		$17.28	$19.00	$22.46
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $23.04 / $41.96	Professional		$13.82	$23.04	$41.96