Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $66.79 / $102.50	Facility		$30.78	$66.79	$102.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.08 / $40.09	Professional		$30.78	$31.08	$40.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $52.79 / $87.72	Facility		$33.24	$52.79	$87.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $34.47 / $51.89	Professional		$30.78	$34.47	$51.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $30.78 / $50.79	Facility		$30.78	$30.78	$50.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $41.55	Professional		$30.78	$30.78	$41.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $30.78 / $32.32	Facility		$29.03	$30.78	$32.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $39.20	Professional		$30.78	$30.78	$39.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $32.32 / $78.04	Facility		$30.39	$32.32	$78.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $43.55	Professional		$30.78	$30.78	$43.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $35.74 / $44.63	Professional		$31.08	$35.74	$44.63
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $38.15	Professional		$30.78	$30.78	$38.15