Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $32.10 / $93.00	Facility		$32.10	$32.10	$93.00
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 / $31.69 / $77.68	Professional		$29.16	$31.69	$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 $12.65 / $17.40 / $22.81	Professional		$12.65	$17.40	$22.81
United Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $26.39 / $47.81	Facility		$18.03	$26.39	$47.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $28.12 / $40.11	Professional		$19.25	$28.12	$40.11