Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $30.95 / $30.95	Facility		$30.95	$30.95	$30.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $30.95 / $55.91	Professional		$30.50	$30.95	$55.91
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 $42.59 / $42.83 / $95.09	Professional		$42.59	$42.83	$95.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $42.80 / $60.66	Facility		$4.93	$42.80	$60.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $39.11 / $74.98	Professional		$4.55	$39.11	$74.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $67.52	Facility		$37.90	$37.90	$67.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.90 / $67.13	Professional		$32.22	$37.90	$67.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Professional		$37.90	$37.90	$37.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $45.31 / $62.93	Professional		$30.21	$45.31	$62.93
United Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $28.94 / $42.83	Professional		$19.21	$28.94	$42.83