Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $30.72 / $156.00	Facility		$23.13	$30.72	$156.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $28.70 / $36.70	Professional		$21.77	$28.70	$36.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $29.62 / $48.15	Professional		$21.06	$29.62	$48.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $25.54 / $33.38	Facility		$22.01	$25.54	$33.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $35.99 / $72.42	Professional		$24.05	$35.99	$72.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $35.99 / $57.73	Professional		$24.05	$35.99	$57.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $38.81 / $53.74	Professional		$27.96	$38.81	$53.74
Optum Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $40.44 / $40.44	Professional		$40.44	$40.44	$40.44
United Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $39.75 / $73.27	Professional		$26.85	$39.75	$73.27