Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $24.26 / $37.81	Professional		$23.99	$24.26	$37.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.51 / $55.83 / $89.32	Facility		$40.51	$55.83	$89.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.17 / $56.77	Professional		$27.00	$27.17	$56.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $30.15 / $46.18	Facility		$3.69	$30.15	$46.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $30.02 / $46.89	Professional		$3.77	$30.02	$46.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $28.37 / $54.12	Facility		$21.65	$28.37	$54.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $28.37 / $51.75	Professional		$24.11	$28.37	$51.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $28.37 / $28.37	Facility		$21.65	$28.37	$28.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Professional		$28.37	$28.37	$28.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $31.92 / $46.03	Professional		$25.53	$31.92	$46.03
United Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $21.58 / $30.18	Professional		$14.75	$21.58	$30.18