Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $17.35 / $92.00	Facility		$17.35	$17.35	$92.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.35 / $24.23	Professional		$17.23	$17.35	$24.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $40.02 / $55.75	Professional		$34.02	$40.02	$55.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $78.50 / $130.84	Facility		$33.75	$78.50	$130.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $67.56 / $78.50	Professional		$48.60	$67.56	$78.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $38.77	Facility		$30.29	$30.29	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.11 / $30.29	Professional		$22.11	$22.11	$30.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Facility		$30.29	$30.29	$30.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $30.29 / $30.29	Professional		$22.11	$30.29	$30.29
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 $13.74 / $20.62 / $33.11	Professional		$13.74	$20.62	$33.11