Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $29.95 / $65.00	Facility		$29.95	$29.95	$65.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $29.95 / $37.61	Professional		$26.03	$29.95	$37.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $25.31 / $61.33	Professional		$19.47	$25.31	$61.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $47.18 / $70.06	Facility		$24.59	$47.18	$70.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $61.33 / $101.02	Professional		$51.90	$61.33	$101.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $55.28	Facility		$55.28	$55.28	$55.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $15.41 / $19.65	Professional		$11.91	$15.41	$19.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $22.81 / $29.95	Professional		$15.66	$22.81	$29.95