Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $53.92 / $14,577.00	Facility		$23.65	$53.92	$14,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $24.60 / $65.69	Professional		$23.65	$24.60	$65.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $41.30 / $67.88	Facility		$25.54	$41.30	$67.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $39.86	Professional		$23.65	$23.65	$39.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $23.65 / $35.68	Facility		$23.63	$23.65	$35.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.65 / $31.93	Professional		$23.63	$23.65	$31.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $23.65	Facility		$22.31	$22.31	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $34.90	Professional		$23.65	$23.65	$34.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $57.77	Facility		$30.90	$30.90	$57.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $34.90	Professional		$23.65	$23.65	$34.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $29.56 / $34.26	Professional		$25.99	$29.56	$34.26
United Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Facility		$23.65	$23.65	$23.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $25.58	Professional		$23.65	$23.65	$25.58