Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $62.24 / $100.00	Facility		$28.68	$62.24	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.97 / $71.70	Professional		$28.68	$28.97	$71.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $50.09 / $82.31	Facility		$30.97	$50.09	$82.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $49.66	Professional		$28.68	$28.68	$49.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $28.68 / $48.76	Facility		$28.68	$28.68	$48.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $38.72	Professional		$28.68	$28.68	$38.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $27.06 / $28.68	Facility		$27.06	$27.06	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $46.57	Professional		$28.68	$28.68	$46.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $27.06 / $28.68	Facility		$27.06	$27.06	$28.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $46.57	Professional		$28.68	$28.68	$46.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $35.85 / $41.36	Professional		$31.38	$35.85	$41.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $37.34	Professional		$28.68	$28.68	$37.34