Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $81.45 / $113.85	Facility		$36.00	$81.45	$113.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $100.08	Professional		$36.00	$36.00	$100.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $87.75 / $243.75	Facility		$56.25	$87.75	$243.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.53 / $48.67	Professional		$1.28	$1.53	$48.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $2.36 / $4.01	Facility		$2.36	$2.36	$4.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.36 / $2.36	Professional		$2.36	$2.36	$2.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $60.18	Professional		$38.25	$38.25	$60.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $60.18	Professional		$38.25	$38.25	$60.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.02 / $6.98	Professional		$5.30	$6.02	$6.98
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $41.35	Professional		$37.50	$37.50	$41.35