Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $20.21 / $20.21	Facility		$20.21	$20.21	$20.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $20.47 / $37.53	Professional		$20.21	$20.47	$37.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.32 / $47.30 / $75.68	Facility		$34.32	$47.30	$75.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $30.47 / $64.31	Professional		$29.44	$30.47	$64.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $28.38 / $42.05	Facility		$3.68	$28.38	$42.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $26.58 / $51.50	Professional		$3.22	$26.58	$51.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $44.18	Facility		$24.94	$24.94	$44.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.94 / $43.88	Professional		$21.20	$24.94	$43.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $26.54	Facility		$24.94	$24.94	$26.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $24.94 / $24.94	Professional		$24.94	$24.94	$24.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $34.61 / $49.91	Professional		$27.68	$34.61	$49.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $20.17 / $31.79	Professional		$12.72	$20.17	$31.79