Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $69.77 / $100.76	Facility		$32.15	$69.77	$100.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $41.47	Professional		$32.15	$32.15	$41.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $55.14 / $91.63	Facility		$34.72	$55.14	$91.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $36.65 / $54.20	Professional		$32.15	$36.65	$54.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.40 / $48.23	Facility		$32.15	$32.40	$48.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.40 / $51.44	Professional		$32.15	$32.40	$51.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $32.15 / $32.38	Facility		$30.33	$32.15	$32.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $40.94	Professional		$32.15	$32.15	$40.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $32.45 / $97.16	Facility		$32.38	$32.45	$97.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $45.49	Professional		$32.15	$32.15	$45.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $37.23 / $46.61	Professional		$32.38	$37.23	$46.61
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $38.58	Professional		$32.15	$32.15	$38.58