Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Facility		$62.41	$62.41	$62.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.21 / $19.59	Professional		$10.74	$16.21	$19.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.96 / $49.15	Professional		$16.98	$25.96	$49.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $22.29 / $30.39	Facility		$20.26	$22.29	$30.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $26.34 / $33.36	Professional		$20.26	$26.34	$33.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $42.67	Facility		$42.67	$42.67	$42.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $10.65	Professional		$10.65	$10.65	$10.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $42.67	Facility		$42.67	$42.67	$42.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $10.65	Professional		$10.65	$10.65	$10.65
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.16 / $30.04	Professional		$8.51	$12.16	$30.04