Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $73.52 / $4,740.00	Facility		$33.88	$73.52	$4,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.47 / $2,841.08	Professional		$33.88	$34.47	$2,841.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $58.10 / $96.56	Facility		$36.59	$58.10	$96.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.69 / $57.12	Professional		$33.88	$38.69	$57.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $34.47 / $51.21	Facility		$33.88	$34.47	$51.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.47 / $54.21	Professional		$33.88	$34.47	$54.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $33.88	Facility		$31.96	$31.96	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.94	Professional		$33.88	$33.88	$46.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $33.88 / $46.20	Facility		$31.96	$33.88	$46.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $47.94	Professional		$33.88	$33.88	$47.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $38.96 / $47.43	Professional		$34.47	$38.96	$47.43
United Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $33.88 / $43.57	Professional		$32.19	$33.88	$43.57