Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $57.46 / $88.18	Facility		$21.18	$57.46	$88.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.71 / $28.23	Professional		$21.18	$21.71	$28.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $40.85 / $65.77	Facility		$23.84	$40.85	$65.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $26.48 / $39.43	Professional		$23.39	$26.48	$39.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $31.58 / $53.69	Facility		$31.58	$31.58	$53.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $31.58 / $31.58	Professional		$22.51	$31.58	$31.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $33.68	Facility		$22.51	$22.51	$33.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $26.48	Professional		$22.51	$22.51	$26.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $23.39 / $36.25	Facility		$22.51	$23.39	$36.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $26.48	Professional		$22.51	$22.51	$26.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $28.06 / $32.74	Professional		$23.39	$28.06	$32.74
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $26.48	Professional		$22.07	$22.07	$26.48