Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $23.68 / $23.68	Facility		$23.68	$23.68	$23.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $23.68 / $23.68	Professional		$23.68	$23.68	$23.68
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 $16.29 / $16.29 / $22.13	Facility		$16.29	$16.29	$22.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $25.07	Professional		$20.65	$20.65	$25.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.37 / $75.37 / $122.41	Facility		$75.37	$75.37	$122.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $75.72 / $75.72	Professional		$73.52	$75.72	$75.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $122.41 / $122.41 / $122.41	Facility		$122.41	$122.41	$122.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $75.72 / $75.72	Professional		$75.72	$75.72	$75.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00