Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $31.54 / $267.00	Facility		$31.54	$31.54	$267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $34.89 / $49.40	Professional		$31.54	$34.89	$49.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.74 / $63.78 / $101.29	Facility		$53.74	$63.78	$101.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $46.47 / $83.18	Professional		$37.18	$46.47	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $62.01 / $82.68	Facility		$45.17	$62.01	$82.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $59.06 / $126.46	Professional		$39.15	$59.06	$126.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $99.91	Facility		$40.36	$40.36	$99.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $34.31	Professional		$34.31	$34.31	$34.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $40.36 / $49.86	Facility		$23.77	$40.36	$49.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $40.36	Professional		$34.31	$34.31	$40.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $31.81 / $61.96	Professional		$20.25	$31.81	$61.96