Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $28.76 / $80.00	Facility		$28.76	$28.76	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $28.76 / $38.75	Professional		$19.46	$28.76	$38.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.19 / $48.29 / $77.62	Facility		$41.19	$48.29	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $20.36 / $57.53	Professional		$16.97	$20.36	$57.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.95 / $45.26 / $61.10	Facility		$33.95	$45.26	$61.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $45.26 / $96.91	Professional		$29.42	$45.26	$96.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $53.10	Facility		$28.50	$28.50	$53.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $20.81 / $33.58	Professional		$20.81	$20.81	$33.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $28.50 / $28.50	Professional		$20.81	$28.50	$28.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $33.00 / $43.26	Professional		$24.00	$33.00	$43.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $21.12 / $33.53	Professional		$14.21	$21.12	$33.53