Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $23.96 / $78.00	Facility		$21.55	$23.96	$78.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $23.13 / $27.44	Professional		$18.13	$23.13	$27.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $25.15 / $42.01	Professional		$20.12	$25.15	$42.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $38.35	Facility		$38.35	$38.35	$38.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $40.26	Facility		$40.26	$40.26	$40.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $38.15	Professional		$29.16	$29.16	$38.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $40.26	Facility		$40.26	$40.26	$40.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $29.16	Professional		$29.16	$29.16	$29.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $35.58 / $49.90	Professional		$27.49	$35.58	$49.90
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $32.90 / $59.90	Professional		$22.02	$32.90	$59.90