Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $61.89 / $88.70	Facility		$28.52	$61.89	$88.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $36.51	Professional		$28.52	$28.52	$36.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $48.91 / $81.28	Facility		$30.80	$48.91	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $32.56 / $48.08	Professional		$28.52	$32.56	$48.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $42.78	Facility		$28.52	$28.52	$42.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $38.50	Professional		$28.52	$28.52	$38.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $28.52 / $32.61	Facility		$26.90	$28.52	$32.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $38.38	Professional		$28.52	$28.52	$38.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $32.61 / $44.21	Facility		$28.52	$32.61	$44.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $40.35	Professional		$28.52	$28.52	$40.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $31.37 / $31.37	Professional		$19.96	$31.37	$31.37
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $34.93	Professional		$28.52	$28.52	$34.93