Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $52.62 / $66.56	Facility		$21.05	$52.62	$66.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $58.52	Professional		$21.05	$21.05	$58.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $33.39	Professional		$21.05	$21.05	$33.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $18.27 / $24.66	Facility		$18.27	$18.27	$24.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $35.18	Professional		$21.05	$21.05	$35.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $35.18	Professional		$21.05	$21.05	$35.18
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $26.31	Professional		$21.05	$21.05	$26.31