Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $22.71 / $22.71	Facility		$22.71	$22.71	$22.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $22.71 / $39.83	Professional		$21.73	$22.71	$39.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $53.16 / $85.06	Facility		$38.57	$53.16	$85.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $27.77 / $55.28	Professional		$27.60	$27.77	$55.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $30.83 / $45.65	Facility		$3.87	$30.83	$45.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $28.71 / $56.42	Professional		$3.54	$28.71	$56.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $48.53	Facility		$27.09	$27.09	$48.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $27.09 / $48.00	Professional		$23.03	$27.09	$48.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $35.54	Facility		$27.09	$27.09	$35.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $27.09 / $35.54	Professional		$27.09	$27.09	$35.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $32.63 / $47.05	Professional		$26.10	$32.63	$47.05
United Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $20.96 / $29.13	Professional		$14.19	$20.96	$29.13