Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.27 / $23.27 / $61.00	Facility		$23.27	$23.27	$61.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $23.27 / $36.25	Professional		$22.68	$23.27	$36.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.75 / $52.43 / $135.83	Facility		$44.75	$52.43	$135.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $27.90 / $62.83	Professional		$23.25	$27.90	$62.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $47.66 / $64.34	Facility		$35.75	$47.66	$64.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $47.66 / $102.05	Professional		$30.98	$47.66	$102.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $62.27	Facility		$29.78	$29.78	$62.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $38.04	Professional		$21.74	$21.74	$38.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $29.78	Facility		$29.78	$29.78	$29.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $29.77 / $29.78	Professional		$21.74	$29.77	$29.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $27.79 / $36.44	Professional		$20.21	$27.79	$36.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.77 / $36.64	Professional		$15.85	$23.77	$36.64