Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $32.92 / $32.92	Facility		$32.92	$32.92	$32.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $32.92 / $43.67	Professional		$32.49	$32.92	$43.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $77.06 / $123.30	Facility		$55.92	$77.06	$123.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $45.80 / $101.64	Professional		$45.56	$45.80	$101.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $45.75 / $64.88	Facility		$5.55	$45.75	$64.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $42.16 / $80.15	Professional		$5.24	$42.16	$80.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $71.83	Facility		$40.36	$40.36	$71.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $40.36 / $71.63	Professional		$34.31	$40.36	$71.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $43.25	Facility		$40.36	$40.36	$43.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Professional		$40.36	$40.36	$40.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $53.81 / $77.59	Professional		$43.04	$53.81	$77.59
United Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $30.87 / $45.80	Professional		$20.46	$30.87	$45.80