Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $90.00	Facility		$46.80	$46.80	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $46.80 / $58.95	Professional		$40.67	$46.80	$58.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $39.52 / $95.84	Professional		$30.40	$39.52	$95.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $73.73 / $109.51	Facility		$38.40	$73.73	$109.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $95.85 / $157.87	Professional		$81.09	$95.85	$157.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $24.06 / $30.69	Professional		$18.60	$24.06	$30.69
United Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $36.46 / $46.80	Professional		$24.52	$36.46	$46.80