Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $57.46 / $276.20	Facility		$25.20	$57.46	$276.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $25.20 / $32.15	Professional		$23.74	$25.20	$32.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $55.99 / $163.80	Facility		$37.79	$55.99	$163.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $28.72 / $43.14	Professional		$25.20	$28.72	$43.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $37.92	Facility		$25.20	$25.20	$37.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $28.98	Professional		$25.20	$25.20	$28.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $23.78 / $25.20	Facility		$23.78	$23.78	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $38.75	Professional		$25.20	$25.20	$38.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $25.20 / $25.20	Facility		$23.78	$25.20	$25.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $44.09	Professional		$25.20	$25.20	$44.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $28.20 / $34.46	Professional		$24.62	$28.20	$34.46
United Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $31.23	Professional		$25.20	$25.20	$31.23