Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $67.86 / $7,327.50	Facility		$31.27	$67.86	$7,327.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $34.74 / $7,318.50	Professional		$31.27	$34.74	$7,318.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.77 / $50.34 / $78.18	Facility		$33.77	$50.34	$78.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $54.14	Professional		$31.27	$31.27	$54.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $31.27 / $53.16	Facility		$31.27	$31.27	$53.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $42.21	Professional		$31.27	$31.27	$42.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $31.27	Facility		$29.50	$29.50	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $54.75	Professional		$31.27	$31.27	$54.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $31.27 / $52.70	Facility		$29.50	$31.27	$52.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $54.75	Professional		$31.27	$31.27	$54.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $39.16 / $45.34	Professional		$34.39	$39.16	$45.34
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $40.31	Professional		$31.27	$31.27	$40.31