Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $36.10 / $82.00	Facility		$36.10	$36.10	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $36.10 / $42.22	Professional		$29.27	$36.10	$42.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.42 / $81.31 / $210.70	Facility		$69.42	$81.31	$210.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $37.04 / $96.10	Professional		$35.17	$37.04	$96.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.45 / $73.93 / $99.81	Facility		$55.45	$73.93	$99.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $70.25 / $158.30	Professional		$50.74	$70.25	$158.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $91.48	Facility		$37.25	$37.25	$91.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $27.19 / $47.59	Professional		$27.19	$27.19	$47.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $37.25	Facility		$37.25	$37.25	$37.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $37.25 / $37.25	Professional		$27.19	$37.25	$37.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $43.14 / $56.55	Professional		$31.37	$43.14	$56.55
United Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $36.89 / $46.93	Professional		$24.34	$36.89	$46.93