Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $74.17 / $106.27	Facility		$34.18	$74.17	$106.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.51 / $85.45	Professional		$34.18	$34.51	$85.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $59.70 / $98.10	Facility		$36.90	$59.70	$98.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $57.62	Professional		$34.18	$34.18	$57.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $34.18 / $58.11	Facility		$34.18	$34.18	$58.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $46.14	Professional		$34.18	$34.18	$46.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $32.25 / $34.18	Facility		$32.25	$32.25	$34.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $47.75	Professional		$34.18	$34.18	$47.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $32.25 / $34.18	Facility		$32.25	$32.25	$34.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $47.75	Professional		$34.18	$34.18	$47.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $42.72 / $49.54	Professional		$37.58	$42.72	$49.54
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $36.97	Professional		$34.18	$34.18	$36.97