Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Facility		$54.71	$54.71	$54.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $14.21 / $21.87	Professional		$10.07	$14.21	$21.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $7.61 / $23.64	Professional		$5.86	$7.61	$23.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $20.92 / $28.19	Facility		$15.46	$20.92	$28.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $24.56 / $43.66	Professional		$23.65	$24.56	$43.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $36.45 / $36.45	Facility		$36.45	$36.45	$36.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $11.29 / $29.50	Professional		$6.85	$11.29	$29.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $36.45 / $36.45	Facility		$36.45	$36.45	$36.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $10.97 / $29.50	Professional		$6.85	$10.97	$29.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $15.00 / $17.73	Professional		$13.64	$15.00	$17.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $15.12 / $26.64	Professional		$9.07	$15.12	$26.64