Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $26.48 / $26.48	Facility		$26.48	$26.48	$26.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $28.63 / $38.49	Professional		$26.48	$28.63	$38.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.71 / $61.61 / $98.58	Facility		$44.71	$61.61	$98.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $40.71 / $77.23	Professional		$34.79	$40.71	$77.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $36.97 / $54.22	Facility		$3.96	$36.97	$54.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $32.04 / $60.90	Professional		$3.62	$32.04	$60.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $63.48	Facility		$25.20	$25.20	$63.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $25.20 / $62.63	Professional		$21.42	$25.20	$62.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $35.74	Facility		$25.20	$25.20	$35.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $36.32	Professional		$25.20	$25.20	$36.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $40.89 / $58.96	Professional		$32.71	$40.89	$58.96
United Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $24.59 / $38.59	Professional		$16.39	$24.59	$38.59