Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $236.00	Facility		$40.70	$40.70	$236.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $40.70 / $58.06	Professional		$40.42	$40.70	$58.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $57.00 / $92.94	Professional		$39.00	$57.00	$92.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.41 / $97.20 / $151.38	Facility		$66.41	$97.20	$151.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $73.53 / $90.83	Professional		$56.23	$73.53	$90.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $90.97	Facility		$37.95	$37.95	$90.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $27.70 / $37.95	Professional		$27.70	$27.70	$37.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $37.95 / $37.95	Professional		$27.70	$37.95	$37.95
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 $32.22 / $48.41 / $80.56	Professional		$32.22	$48.41	$80.56