Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $79.73 / $122.00	Facility		$39.86	$79.73	$122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $40.28 / $90.90	Professional		$39.86	$40.28	$90.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $64.19 / $99.68	Facility		$43.06	$64.19	$99.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $67.22	Professional		$39.86	$39.86	$67.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $67.78	Facility		$39.86	$39.86	$67.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $53.82	Professional		$39.86	$39.86	$53.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $37.61 / $39.86	Facility		$37.61	$37.61	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $59.25	Professional		$39.86	$39.86	$59.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $38.61 / $39.86	Facility		$37.61	$38.61	$39.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $59.25	Professional		$39.86	$39.86	$59.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $49.85 / $57.81	Professional		$43.85	$49.85	$57.81
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $43.12	Professional		$39.86	$39.86	$43.12