Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $17.68 / $80.00	Facility		$17.68	$17.68	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.68 / $25.22	Professional		$17.55	$17.68	$25.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $40.18 / $56.77	Professional		$34.64	$40.18	$56.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.52 / $74.76 / $130.84	Facility		$34.52	$74.76	$130.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $62.31 / $78.50	Professional		$45.00	$62.31	$78.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $30.06 / $39.51	Facility		$30.06	$30.06	$39.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $30.06	Professional		$21.94	$21.94	$30.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $30.06 / $30.06	Facility		$30.06	$30.06	$30.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $30.06 / $30.06	Professional		$21.94	$30.06	$30.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $60.91 / $71.99	Professional		$55.38	$60.91	$71.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $21.03 / $33.72	Professional		$14.00	$21.03	$33.72