Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $28.21 / $81.00	Facility		$28.21	$28.21	$81.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $28.21 / $43.21	Professional		$27.50	$28.21	$43.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $63.55 / $164.64	Facility		$54.25	$63.55	$164.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.81 / $76.16	Professional		$28.18	$33.81	$76.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $57.77 / $77.98	Facility		$43.33	$57.77	$77.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $57.77 / $123.70	Professional		$37.54	$57.77	$123.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $75.04	Facility		$37.36	$37.36	$75.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $47.73	Professional		$27.27	$27.27	$47.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $37.36 / $37.36	Professional		$27.27	$37.36	$37.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $33.69 / $44.17	Professional		$24.50	$33.69	$44.17
United Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $28.82 / $44.41	Professional		$19.21	$28.82	$44.41