Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $44.28 / $102.00	Facility		$44.28	$44.28	$102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $44.28 / $59.75	Professional		$34.07	$44.28	$59.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $35.94 / $90.67	Professional		$29.95	$35.94	$90.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $69.75 / $94.16	Facility		$52.31	$69.75	$94.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $69.75 / $149.35	Professional		$45.34	$69.75	$149.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $81.73	Facility		$37.70	$37.70	$81.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $37.70	Professional		$28.46	$32.04	$37.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $41.94	Facility		$37.70	$37.70	$41.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $37.70 / $37.70	Professional		$28.46	$37.70	$37.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $51.15 / $67.05	Professional		$37.20	$51.15	$67.05
United Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $33.11 / $45.58	Professional		$21.86	$33.11	$45.58