Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.84 / $34.84 / $57.99	Facility		$34.84	$34.84	$57.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $34.84 / $43.54	Professional		$25.60	$34.84	$43.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $28.28 / $71.34	Professional		$23.57	$28.28	$71.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $65.87 / $81.53	Facility		$54.89	$65.87	$81.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $71.36 / $117.53	Professional		$60.38	$71.36	$117.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $64.31 / $64.31	Facility		$64.31	$64.31	$64.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $35.37 / $41.03	Professional		$28.30	$35.37	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $27.14 / $34.84	Professional		$18.26	$27.14	$34.84