Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $55.53 / $85.21	Facility		$25.59	$55.53	$85.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $27.86 / $63.98	Professional		$25.59	$27.86	$63.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $59.88 / $166.34	Facility		$38.39	$59.88	$166.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $44.31	Professional		$25.59	$25.59	$44.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $25.59 / $43.50	Facility		$25.59	$25.59	$43.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $34.54	Professional		$25.59	$25.59	$34.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $24.14 / $25.59	Facility		$24.14	$24.14	$25.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $47.89	Professional		$25.59	$25.59	$47.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $24.14 / $25.59	Facility		$24.14	$24.14	$25.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $48.11	Professional		$25.59	$25.59	$48.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $33.06 / $39.00	Professional		$28.14	$33.06	$39.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $33.52	Professional		$25.59	$25.59	$33.52