Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.09 / $42.09 / $42.09	Facility		$42.09	$42.09	$42.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $42.09 / $71.51	Professional		$39.01	$42.09	$71.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $98.53 / $157.63	Facility		$71.48	$98.53	$157.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $68.77 / $143.77	Professional		$59.10	$68.77	$143.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $59.12 / $97.43	Facility		$7.33	$59.12	$97.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $56.42 / $114.60	Professional		$6.70	$56.42	$114.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $98.11	Facility		$48.69	$48.69	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $48.69 / $86.63	Professional		$41.39	$48.69	$86.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $63.32	Facility		$48.69	$48.69	$63.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $48.69 / $48.69	Professional		$48.69	$48.69	$48.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $72.76 / $101.06	Professional		$48.51	$72.76	$101.06
United Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $43.34 / $67.97	Professional		$27.37	$43.34	$67.97