Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.46 / $31.46 / $31.46	Facility		$31.46	$31.46	$31.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $31.46 / $47.10	Professional		$31.28	$31.46	$47.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.44 / $73.65 / $117.84	Facility		$53.44	$73.65	$117.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $44.98 / $99.84	Professional		$44.70	$44.98	$99.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $44.19 / $63.72	Facility		$5.47	$44.19	$63.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $40.61 / $78.69	Professional		$5.01	$40.61	$78.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $38.63 / $68.64	Facility		$38.63	$38.63	$68.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $38.63 / $68.25	Professional		$32.84	$38.63	$68.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $38.63 / $41.33	Facility		$38.63	$38.63	$41.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $38.63 / $38.63	Professional		$38.63	$38.63	$38.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $52.86 / $76.22	Professional		$42.28	$52.86	$76.22
United Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $29.93 / $44.89	Professional		$19.70	$29.93	$44.89