Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $34.64 / $64.37	Facility		$20.59	$34.64	$64.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $20.59 / $46.00	Professional		$19.32	$20.59	$46.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $45.23 / $125.65	Facility		$29.00	$45.23	$125.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $32.59	Professional		$19.32	$19.32	$32.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $32.86	Facility		$19.32	$19.32	$32.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $26.10	Professional		$19.32	$19.32	$26.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $19.32	Facility		$18.23	$18.23	$19.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $34.29	Professional		$19.32	$19.32	$34.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $26.42 / $26.42	Facility		$26.42	$26.42	$26.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $34.29	Professional		$19.32	$19.32	$34.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $27.06 / $32.07	Professional		$23.00	$27.06	$32.07
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $24.23	Professional		$19.32	$19.32	$24.23