Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $37.15 / $91.94	Facility		$30.75	$37.15	$91.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $52.92	Professional		$30.75	$30.75	$52.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $59.40	Professional		$36.00	$36.00	$59.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.52 / $26.52 / $43.76	Facility		$26.52	$26.52	$43.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $64.86	Professional		$26.52	$26.52	$64.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $123.28 / $130.67	Professional		$86.29	$123.28	$130.67
United Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $24.28 / $32.15	Professional		$23.07	$24.28	$32.15