Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $64.06 / $82.28	Facility		$26.02	$64.06	$82.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.02 / $72.34	Professional		$26.02	$26.02	$72.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $63.41 / $176.15	Facility		$40.65	$63.41	$176.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $23.86 / $46.92	Professional		$22.73	$23.86	$46.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $31.12	Facility		$18.86	$18.86	$31.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Facility		$27.64	$27.64	$27.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $41.22	Professional		$27.64	$27.64	$41.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Facility		$27.64	$27.64	$27.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $41.22	Professional		$27.64	$27.64	$41.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $48.64 / $51.55	Professional		$34.04	$48.64	$51.55
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $29.31	Professional		$27.10	$27.10	$29.31