Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $32.10 / $98.00	Facility		$32.10	$32.10	$98.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $32.10 / $36.75	Professional		$28.07	$32.10	$36.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.11 / $65.73 / $170.32	Facility		$56.11	$65.73	$170.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $31.25 / $77.68	Professional		$29.16	$31.25	$77.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $59.76 / $80.68	Facility		$44.82	$59.76	$80.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $54.09 / $127.96	Professional		$39.07	$54.09	$127.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $70.43	Facility		$33.35	$33.35	$70.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $24.35 / $42.60	Professional		$24.35	$24.35	$42.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $33.35	Facility		$33.35	$33.35	$33.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $33.35 / $33.35	Professional		$24.35	$33.35	$33.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $29.60 / $38.80	Professional		$21.52	$29.60	$38.80
United Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $60.49 / $71.17	Facility		$60.49	$60.49	$71.17
United Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $28.85 / $41.03	Professional		$19.88	$28.85	$41.03