Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $46.07 / $72.18	Facility		$21.23	$46.07	$72.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.87 / $59.02	Professional		$21.23	$21.87	$59.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.93 / $37.08 / $60.93	Facility		$22.93	$37.08	$60.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $35.79	Professional		$21.23	$21.23	$35.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $36.09	Facility		$21.23	$21.23	$36.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $28.66	Professional		$21.23	$21.23	$28.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Facility		$28.21	$28.21	$28.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $44.38	Professional		$28.21	$28.21	$44.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $50.45 / $50.45	Facility		$50.45	$50.45	$50.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $44.38	Professional		$28.21	$28.21	$44.38
United Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Facility		$21.23	$21.23	$21.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $22.96	Professional		$21.23	$21.23	$22.96