Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $30.94	Facility		$30.94	$30.94	$30.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $30.94 / $42.17	Professional		$28.51	$30.94	$42.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.56 / $72.44 / $115.90	Facility		$52.56	$72.44	$115.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $20.49 / $68.81	Professional		$17.07	$20.49	$68.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $40.50 / $61.06	Facility		$4.83	$40.50	$61.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $38.90 / $71.56	Professional		$4.79	$38.90	$71.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $36.06 / $63.47	Facility		$36.06	$36.06	$63.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.06 / $67.50	Professional		$30.65	$36.06	$67.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $36.06 / $47.33	Facility		$36.06	$36.06	$47.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $36.06 / $47.33	Professional		$36.06	$36.06	$47.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $40.00 / $52.00	Professional		$32.00	$40.00	$52.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $29.40 / $43.96	Professional		$19.23	$29.40	$43.96