Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $78.73 / $120.81	Facility		$36.28	$78.73	$120.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $46.41	Professional		$36.28	$36.28	$46.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $62.22 / $103.40	Facility		$39.18	$62.22	$103.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $40.63 / $61.16	Professional		$36.28	$40.63	$61.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.28 / $54.39	Facility		$36.26	$36.28	$54.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $36.28 / $58.05	Professional		$36.26	$36.28	$58.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $35.44 / $36.28	Facility		$34.22	$35.44	$36.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $46.20	Professional		$36.28	$36.28	$46.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.28 / $51.03 / $115.58	Facility		$33.28	$51.03	$115.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $51.33	Professional		$36.28	$36.28	$51.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $42.96 / $50.79	Professional		$36.26	$42.96	$50.79
United Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Facility		$36.28	$36.28	$36.28
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $43.17	Professional		$36.28	$36.28	$43.17