Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $20.52 / $68.00	Facility		$20.52	$20.52	$68.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $20.83 / $30.49	Professional		$20.52	$20.83	$30.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $40.99 / $65.89	Facility		$34.96	$40.99	$65.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $20.76 / $51.26	Professional		$19.48	$20.76	$51.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $25.93 / $38.42	Facility		$3.16	$25.93	$38.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $24.49 / $49.95	Professional		$2.88	$24.49	$49.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $44.93	Facility		$27.30	$27.30	$44.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $23.21 / $55.78	Professional		$23.21	$23.21	$55.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $42.18	Facility		$27.30	$27.30	$42.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $27.30 / $27.30	Professional		$23.21	$27.30	$27.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $18.97 / $27.60	Professional		$12.64	$18.97	$27.60