Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $33.36 / $112.45	Facility		$13.57	$33.36	$112.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $33.36 / $44.28	Professional		$28.07	$33.36	$44.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $68.34 / $177.07	Facility		$58.34	$68.34	$177.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $34.13 / $80.76	Professional		$30.32	$34.13	$80.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $62.13 / $83.88	Facility		$43.72	$62.13	$83.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $55.92 / $133.03	Professional		$40.38	$55.92	$133.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $76.27	Facility		$38.57	$38.57	$76.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $51.66	Professional		$28.16	$28.16	$51.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $38.57 / $38.57	Professional		$28.16	$38.57	$38.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $36.25 / $47.53	Professional		$26.36	$36.25	$47.53
United Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $28.82 / $49.70	Facility		$19.69	$28.82	$49.70
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $30.03 / $43.81	Professional		$20.66	$30.03	$43.81