Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $33.06 / $33.06	Facility		$33.06	$33.06	$33.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $33.06 / $58.99	Professional		$32.03	$33.06	$58.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $77.38 / $123.80	Facility		$56.14	$77.38	$123.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $52.09 / $105.23	Professional		$48.05	$52.09	$105.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $46.43 / $68.09	Facility		$5.60	$46.43	$68.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $43.42 / $80.06	Professional		$5.26	$43.42	$80.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $80.65	Facility		$42.67	$42.67	$80.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $42.67 / $70.13	Professional		$36.27	$42.67	$70.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $51.15	Facility		$42.67	$42.67	$51.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $42.67 / $42.67	Professional		$42.67	$42.67	$42.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.83 / $70.59	Professional		$33.88	$50.83	$70.59
United Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $32.90 / $48.05	Professional		$20.79	$32.90	$48.05