Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $48.91 / $75.06	Facility		$22.54	$48.91	$75.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $22.54 / $28.43	Professional		$22.21	$22.54	$28.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $38.65 / $64.23	Facility		$24.34	$38.65	$64.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $25.24 / $38.00	Professional		$22.54	$25.24	$38.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $34.04	Facility		$22.54	$22.54	$34.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $30.43	Professional		$22.54	$22.54	$30.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $21.56 / $22.54	Facility		$21.26	$21.56	$22.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $27.78	Professional		$22.54	$22.54	$27.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $22.54 / $40.60	Facility		$21.26	$22.54	$40.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $31.90	Professional		$22.54	$22.54	$31.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $24.87 / $30.11	Professional		$22.21	$24.87	$30.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.54 / $26.62	Professional		$22.50	$22.54	$26.62