Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $26.34 / $82.00	Facility		$26.34	$26.34	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $26.34 / $30.18	Professional		$23.06	$26.34	$30.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.05 / $53.94 / $139.76	Facility		$46.05	$53.94	$139.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $26.32 / $63.75	Professional		$23.93	$26.32	$63.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $49.04 / $66.20	Facility		$36.78	$49.04	$66.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $44.39 / $105.00	Professional		$32.06	$44.39	$105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $57.79	Facility		$27.38	$27.38	$57.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $34.97	Professional		$19.98	$19.98	$34.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Facility		$27.38	$27.38	$27.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.38 / $27.38	Professional		$19.98	$27.38	$27.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.91 / $22.17	Professional		$12.30	$16.91	$22.17
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $23.08 / $32.93	Professional		$15.81	$23.08	$32.93