Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $84.08 / $201.43	Facility		$14.03	$84.08	$201.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $48.54 / $62.13	Professional		$48.39	$48.54	$62.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $16.97 / $111.99	Facility		$9.61	$16.97	$111.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.04 / $61.48	Professional		$8.91	$11.04	$61.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $12.03 / $20.45	Facility		$12.03	$12.03	$20.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.03 / $51.42	Professional		$8.91	$12.03	$51.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $51.42 / $85.00	Facility		$8.91	$51.42	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Professional		$51.42	$51.42	$51.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $51.42 / $51.42	Facility		$8.91	$51.42	$51.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $60.49	Professional		$51.42	$51.42	$60.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.24 / $12.84	Professional		$8.91	$10.24	$12.84
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $62.46	Professional		$50.40	$50.40	$62.46