Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $22.23 / $80.00	Facility		$22.23	$22.23	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $22.23 / $25.63	Professional		$19.43	$22.23	$25.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $45.53 / $117.96	Facility		$38.86	$45.53	$117.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $21.64 / $53.80	Professional		$16.14	$21.64	$53.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $41.39 / $55.88	Facility		$31.04	$41.39	$55.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.42 / $88.62	Professional		$27.03	$37.42	$88.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $48.73	Facility		$23.09	$23.09	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $29.50	Professional		$16.86	$16.86	$29.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $23.09	Facility		$23.09	$23.09	$23.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.09 / $23.09	Professional		$16.86	$23.09	$23.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $15.49 / $20.31	Professional		$11.27	$15.49	$20.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $19.44 / $28.21	Professional		$13.33	$19.44	$28.21