Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $46.91 / $63.24	Facility		$20.32	$46.91	$63.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $27.00 / $59.80	Professional		$19.39	$27.00	$59.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $39.03 / $59.98	Facility		$22.35	$39.03	$59.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $36.86	Professional		$21.00	$21.00	$36.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $43,749.56 / $61,249.39	Facility		$30.17	$43,749.56	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $22.35	Professional		$20.00	$20.00	$22.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Facility		$22.10	$22.10	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $34.77	Professional		$22.10	$22.10	$34.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $20.75 / $71.56	Facility		$3.04	$20.75	$71.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $22.10 / $34.77	Professional		$17.52	$22.10	$34.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $32.40 / $47.38	Professional		$24.58	$32.40	$47.38
United Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $23.53 / $31.40	Professional		$22.35	$23.53	$31.40