Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $39.71 / $60.94	Facility		$18.30	$39.71	$60.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.48 / $50.62	Professional		$18.30	$18.48	$50.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $31.96 / $52.52	Facility		$19.76	$31.96	$52.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $31.68	Professional		$18.30	$18.30	$31.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $31.11	Facility		$18.30	$18.30	$31.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $24.71	Professional		$18.30	$18.30	$24.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $18.30	Facility		$17.26	$17.26	$18.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $32.49	Professional		$18.30	$18.30	$32.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $18.30	Facility		$17.26	$17.26	$18.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $32.49	Professional		$18.30	$18.30	$32.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $22.87 / $26.40	Professional		$20.03	$22.87	$26.40
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $21.92	Professional		$18.30	$18.30	$21.92