Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $25.87 / $25.87	Facility		$25.87	$25.87	$25.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $25.87 / $345.00	Professional		$25.87	$25.87	$345.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $35.86	Professional		$22.00	$22.00	$35.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $18.22 / $23.96	Facility		$18.22	$18.22	$23.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $27.15	Professional		$22.36	$22.36	$27.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.70 / $79.70 / $112.21	Facility		$79.70	$79.70	$112.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $18.77 / $74.18	Professional		$18.77	$18.77	$74.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $112.21 / $112.21	Facility		$112.21	$112.21	$112.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $113.00 / $127.00	Professional		$18.77	$113.00	$127.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00