Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $58.97 / $72.08	Facility		$22.79	$58.97	$72.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $22.79 / $28.49	Professional		$22.79	$22.79	$28.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.67 / $7.22	Professional		$3.92	$4.67	$7.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $17.22 / $98.96	Facility		$13.91	$17.22	$98.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $24.22 / $128.63	Professional		$9.73	$24.22	$128.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Professional		$4.04	$4.04	$4.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Professional		$4.04	$4.04	$4.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $16.91 / $22.28	Professional		$10.39	$16.91	$22.28