Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $28.52 / $264.00	Facility		$27.94	$28.52	$264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $28.78 / $151.13	Professional		$25.45	$28.78	$151.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $89.34 / $134.59	Professional		$67.00	$89.34	$134.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $27.40 / $39.89	Facility		$26.25	$27.40	$39.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $33.58 / $41.38	Professional		$29.55	$33.58	$41.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $34.93 / $56.40	Professional		$24.17	$34.93	$56.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $34.93 / $54.69	Professional		$24.17	$34.93	$54.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $31.36 / $54.92	Professional		$23.26	$31.36	$54.92