Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $37.54 / $99.00	Facility		$37.54	$37.54	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $37.54 / $46.92	Professional		$28.33	$37.54	$46.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $60.27 / $97.57	Professional		$46.98	$60.27	$97.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.15 / $71.33 / $87.85	Facility		$59.15	$71.33	$87.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $76.90 / $126.65	Professional		$65.06	$76.90	$126.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Professional		$31.73	$31.73	$31.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $69.66 / $69.66	Facility		$69.66	$69.66	$69.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Professional		$31.73	$31.73	$31.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $46.97 / $54.49	Professional		$37.58	$46.97	$54.49
United Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $29.24 / $42.87	Professional		$19.67	$29.24	$42.87