Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.44 / $28.44 / $28.44	Facility		$28.44	$28.44	$28.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $28.54 / $52.32	Professional		$28.44	$28.54	$52.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $66.58 / $106.52	Facility		$48.31	$66.58	$106.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $42.08 / $90.54	Professional		$41.86	$42.08	$90.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $39.94 / $59.60	Facility		$4.53	$39.94	$59.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $37.99 / $73.59	Professional		$4.49	$37.99	$73.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $62.05	Facility		$35.11	$35.11	$62.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $35.11 / $61.88	Professional		$29.84	$35.11	$61.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $37.36	Facility		$35.11	$35.11	$37.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Professional		$35.11	$35.11	$35.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $44.51 / $61.82	Professional		$29.67	$44.51	$61.82
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $28.69 / $42.08	Professional		$17.98	$28.69	$42.08