Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $32.57 / $32.57	Facility		$32.57	$32.57	$32.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $32.57 / $43.05	Professional		$32.03	$32.57	$43.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $76.23 / $121.96	Facility		$55.31	$76.23	$121.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $44.72 / $99.24	Professional		$44.47	$44.72	$99.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $44.65 / $63.84	Facility		$5.49	$44.65	$63.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $41.18 / $78.23	Professional		$5.19	$41.18	$78.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $71.05	Facility		$39.90	$39.90	$71.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $39.90 / $70.88	Professional		$33.92	$39.90	$70.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $42.78	Facility		$39.90	$39.90	$42.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $39.90	Professional		$39.90	$39.90	$39.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $52.54 / $75.76	Professional		$42.03	$52.54	$75.76
United Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $30.62 / $44.72	Professional		$20.18	$30.62	$44.72