Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $55.25 / $85.54	Facility		$25.46	$55.25	$85.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $26.22 / $58.05	Professional		$25.46	$26.22	$58.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $44.47 / $73.06	Facility		$27.50	$44.47	$73.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $42.92	Professional		$25.46	$25.46	$42.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $43.28	Facility		$25.46	$25.46	$43.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $34.36	Professional		$25.46	$25.46	$34.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $25.46	Facility		$24.02	$24.02	$25.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $57.76	Professional		$25.46	$25.46	$57.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $25.46 / $25.46	Facility		$24.02	$25.46	$25.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $57.76	Professional		$25.46	$25.46	$57.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $36.91 / $45.51	Professional		$31.82	$36.91	$45.51
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $30.55	Professional		$25.46	$25.46	$30.55