Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.68 / $26.50 / $83.17	Facility		$24.68	$26.50	$83.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $24.68 / $31.79	Professional		$21.62	$24.68	$31.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $50.55 / $130.96	Facility		$43.15	$50.55	$130.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $24.25 / $60.65	Professional		$22.42	$24.25	$60.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.46 / $45.95 / $62.03	Facility		$34.46	$45.95	$62.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $41.59 / $98.39	Professional		$30.04	$41.59	$98.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $54.16	Facility		$27.10	$27.10	$54.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $19.78 / $55.97	Professional		$19.78	$19.78	$55.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $27.10 / $27.10	Professional		$19.78	$27.10	$27.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $33.13 / $43.43	Professional		$24.09	$33.13	$43.43
United Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $21.82 / $30.88	Professional		$15.28	$21.82	$30.88