Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.35 / $53.41 / $93.95	Facility		$32.35	$53.41	$93.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $32.35 / $55.67	Professional		$29.66	$32.35	$55.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $73.64 / $204.56	Facility		$47.21	$73.64	$204.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $31.19 / $54.35	Professional		$31.19	$31.19	$54.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.51 / $21.51 / $31.98	Facility		$21.51	$21.51	$31.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $21.51 / $29.04	Professional		$21.51	$21.51	$29.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $35.25 / $35.25	Facility		$35.25	$35.25	$35.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $52.36	Professional		$35.25	$35.25	$52.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Facility		$17.29	$17.29	$17.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $52.36	Professional		$35.25	$35.25	$52.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $47.71 / $66.80	Professional		$39.76	$47.71	$66.80
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $35.56 / $41.23	Professional		$29.26	$35.56	$41.23