Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $63.56 / $10,034.50	Facility		$29.29	$63.56	$10,034.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $29.29 / $38.26	Professional		$28.98	$29.29	$38.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $50.23 / $83.48	Facility		$31.63	$50.23	$83.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $33.39 / $49.38	Professional		$29.29	$33.39	$49.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $44.25	Facility		$29.29	$29.29	$44.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $39.54	Professional		$29.29	$29.29	$39.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $28.21 / $30.91	Facility		$27.63	$28.21	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $37.46	Professional		$29.29	$29.29	$37.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $29.29 / $43.73	Facility		$27.63	$29.29	$43.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $41.45	Professional		$29.29	$29.29	$41.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $33.25 / $41.61	Professional		$28.92	$33.25	$41.61
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $36.29	Professional		$29.29	$29.29	$36.29