Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $23.05 / $36.11	Facility		$10.62	$23.05	$36.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.72 / $29.52	Professional		$10.62	$10.72	$29.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $18.80 / $32.25	Facility		$10.68	$18.80	$32.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $18.38	Professional		$10.62	$10.62	$18.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $16.98	Facility		$10.62	$10.62	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $14.34	Professional		$10.62	$10.62	$14.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Facility		$33.45	$33.45	$33.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $52.63	Professional		$33.45	$33.45	$52.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $72.11 / $116.13	Facility		$11.50	$72.11	$116.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $52.63	Professional		$33.45	$33.45	$52.63
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $14.77	Professional		$10.62	$10.62	$14.77