Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $51.82 / $92.06	Facility		$29.60	$51.82	$92.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.12 / $39.46	Professional		$23.88	$24.12	$39.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $40.95 / $68.06	Facility		$25.79	$40.95	$68.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $27.28 / $41.79	Professional		$23.88	$27.28	$41.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $23.88 / $36.06	Facility		$23.88	$23.88	$36.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $32.24	Professional		$23.88	$23.88	$32.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $23.88 / $85.00	Facility		$22.53	$23.88	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $51.77	Professional		$23.88	$23.88	$51.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $23.88 / $85.00	Facility		$22.53	$23.88	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $51.77	Professional		$23.88	$23.88	$51.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $31.04 / $38.76	Professional		$26.26	$31.04	$38.76
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $29.60	Professional		$23.88	$23.88	$29.60