Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $28.11 / $82.00	Facility		$28.11	$28.11	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $28.11 / $46.97	Professional		$27.40	$28.11	$46.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $63.32 / $164.05	Facility		$54.05	$63.32	$164.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $33.60 / $75.97	Professional		$28.00	$33.60	$75.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $57.56 / $77.70	Facility		$43.17	$57.56	$77.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $55.01 / $123.25	Professional		$39.72	$55.01	$123.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $75.23	Facility		$35.97	$35.97	$75.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $26.26 / $45.95	Professional		$26.26	$26.26	$45.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $35.97	Facility		$35.97	$35.97	$35.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $35.97 / $35.97	Professional		$26.26	$35.97	$35.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $33.58 / $44.02	Professional		$24.42	$33.58	$44.02
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $28.72 / $44.25	Professional		$19.14	$28.72	$44.25