Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $40.04 / $117.00	Facility		$40.04	$40.04	$117.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $40.04 / $54.05	Professional		$30.82	$40.04	$54.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $34.14 / $82.03	Professional		$28.45	$34.14	$82.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.33 / $63.10 / $85.19	Facility		$47.33	$63.10	$85.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $63.10 / $135.11	Professional		$41.02	$63.10	$135.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $73.94	Facility		$37.90	$37.90	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $52.47	Professional		$32.22	$32.22	$52.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $46.83	Facility		$37.90	$37.90	$46.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.90 / $44.60	Professional		$32.22	$37.90	$44.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.12 / $49.67 / $65.12	Professional		$36.12	$49.67	$65.12
United Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $29.71 / $41.99	Professional		$20.13	$29.71	$41.99