Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $26.59 / $82.00	Facility		$26.59	$26.59	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $26.59 / $33.20	Professional		$18.01	$26.59	$33.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $22.52 / $54.45	Professional		$17.27	$22.52	$54.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $41.89 / $62.22	Facility		$21.81	$41.89	$62.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $54.46 / $89.69	Professional		$46.08	$54.46	$89.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $17.09	Professional		$17.09	$17.09	$17.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $49.09	Facility		$49.09	$49.09	$49.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $17.09	Professional		$17.09	$17.09	$17.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $13.67 / $17.44	Professional		$10.57	$13.67	$17.44
United Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $19.96 / $26.59	Professional		$13.93	$19.96	$26.59