Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $28.34	Facility		$28.34	$28.34	$28.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $28.34 / $45.38	Professional		$27.73	$28.34	$45.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $65.95 / $105.54	Facility		$47.86	$65.95	$105.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.25 / $68.59	Professional		$37.04	$37.25	$68.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $39.57 / $56.14	Facility		$4.73	$39.57	$56.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $35.61 / $65.19	Professional		$4.46	$35.61	$65.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $61.84	Facility		$24.44	$24.44	$61.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $24.44 / $61.13	Professional		$20.77	$24.44	$61.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $38.26	Facility		$24.44	$24.44	$38.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $24.44 / $35.19	Professional		$24.44	$24.44	$35.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $43.77 / $63.12	Professional		$35.01	$43.77	$63.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $26.33 / $39.07	Professional		$17.55	$26.33	$39.07