Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Facility		$27.38	$27.38	$27.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $27.38 / $39.72	Professional		$25.22	$27.38	$39.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.51 / $64.09 / $102.56	Facility		$46.51	$64.09	$102.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $27.73 / $63.84	Professional		$27.23	$27.73	$63.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $36.15 / $54.80	Facility		$4.62	$36.15	$54.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $34.40 / $63.34	Professional		$4.21	$34.40	$63.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $56.17	Facility		$31.91	$31.91	$56.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $31.91 / $60.00	Professional		$27.12	$31.91	$60.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $31.91	Facility		$31.91	$31.91	$31.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $31.91 / $31.91	Professional		$31.91	$31.91	$31.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $35.00 / $45.50	Professional		$28.00	$35.00	$45.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $26.02 / $37.10	Professional		$17.02	$26.02	$37.10