Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $32.92 / $111.00	Facility		$32.92	$32.92	$111.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $32.92 / $37.72	Professional		$28.82	$32.92	$37.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $67.42 / $174.68	Facility		$57.55	$67.42	$174.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $32.36 / $80.90	Professional		$29.90	$32.36	$80.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $61.29 / $82.74	Facility		$45.97	$61.29	$82.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $55.48 / $131.22	Professional		$40.07	$55.48	$131.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $72.23	Facility		$36.72	$36.72	$72.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $46.92	Professional		$26.81	$26.81	$46.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $36.72	Professional		$26.81	$36.72	$36.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $26.23 / $34.39	Professional		$19.07	$26.23	$34.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $29.60 / $41.17	Professional		$20.38	$29.60	$41.17