Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $52.00 / $72.00	Facility		$47.00	$52.00	$72.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $46.01 / $62.00	Professional		$35.70	$46.01	$62.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $67.83	Facility		$39.90	$39.90	$67.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $53.87	Professional		$39.90	$39.90	$53.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $31.89 / $31.89	Professional		$31.89	$31.89	$31.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $31.89 / $31.89	Professional		$31.89	$31.89	$31.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $57.85 / $90.37	Professional		$43.89	$57.85	$90.37
United Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $36.65 / $73.91	Professional		$30.98	$36.65	$73.91