Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $57.96 / $89.77	Facility		$26.71	$57.96	$89.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.98 / $41.33	Professional		$26.71	$26.98	$41.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $45.81 / $76.12	Facility		$28.85	$45.81	$76.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $30.50 / $46.74	Professional		$26.71	$30.50	$46.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $40.36	Facility		$26.71	$26.71	$40.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $36.06	Professional		$26.71	$26.71	$36.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $26.71 / $42.51	Facility		$25.20	$26.71	$42.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $53.23	Professional		$26.71	$26.71	$53.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $42.51 / $188.11	Facility		$26.71	$42.51	$188.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $61.62	Professional		$26.71	$26.71	$61.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $34.72 / $42.44	Professional		$29.38	$34.72	$42.44
United Facility/Professional Facility Modifier Low / Median / High Price $36.99 / $36.99 / $36.99	Facility		$36.99	$36.99	$36.99
United Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $26.71 / $32.70	Professional		$26.66	$26.71	$32.70