Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $15.01 / $110.00	Facility		$15.01	$15.01	$110.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $15.01 / $20.97	Professional		$14.91	$15.01	$20.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $41.46 / $67.64	Professional		$35.14	$41.46	$67.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $90.84 / $151.38	Facility		$29.30	$90.84	$151.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $78.18 / $90.83	Professional		$56.23	$78.18	$90.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $54.94 / $54.94	Facility		$44.24	$54.94	$54.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $54.94	Professional		$40.11	$40.11	$54.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $54.94 / $54.94	Facility		$54.94	$54.94	$54.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $54.94 / $54.94	Professional		$40.11	$54.94	$54.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $70.48 / $83.30	Professional		$64.08	$70.48	$83.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $17.86 / $29.72	Professional		$11.89	$17.86	$29.72