Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $47.09 / $72.26	Facility		$21.70	$47.09	$72.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $21.70 / $26.34	Professional		$19.96	$21.70	$26.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.22 / $61.85	Facility		$23.44	$37.22	$61.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $24.78 / $36.58	Professional		$21.70	$24.78	$36.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $32.77	Facility		$21.70	$21.70	$32.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $29.30	Professional		$21.70	$21.70	$29.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $21.70 / $33.86	Facility		$20.47	$21.70	$33.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $41.65	Professional		$21.70	$21.70	$41.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $21.70 / $33.86	Facility		$20.47	$21.70	$33.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $69.73	Professional		$21.70	$21.70	$69.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $26.40 / $33.52	Professional		$21.70	$26.40	$33.52
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $26.58	Professional		$21.70	$21.70	$26.58