Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $31.03 / $31.03	Facility		$31.03	$31.03	$31.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $31.03 / $45.89	Professional		$29.16	$31.03	$45.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $72.63 / $116.20	Facility		$52.70	$72.63	$116.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $43.60 / $83.87	Professional		$37.79	$43.60	$83.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $41.93 / $62.10	Facility		$5.28	$41.93	$62.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $39.22 / $76.73	Professional		$4.66	$39.22	$76.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $64.59	Facility		$36.65	$36.65	$64.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $36.65 / $66.75	Professional		$31.15	$36.65	$66.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $39.15	Facility		$36.65	$36.65	$39.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Professional		$36.65	$36.65	$36.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $44.41 / $64.04	Professional		$35.52	$44.41	$64.04
United Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $29.05 / $39.61	Professional		$18.27	$29.05	$39.61