Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $378.84 / $3,639.68	Facility		$30.23	$378.84	$3,639.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $90.00	Professional		$30.23	$30.23	$90.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $35.06 / $60.14	Professional		$30.23	$35.06	$60.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $46.25	Facility		$30.23	$30.23	$46.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $40.81	Professional		$30.23	$30.23	$40.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $30.23	Facility		$28.52	$28.52	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $42.78	Professional		$30.23	$30.23	$42.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $85.00 / $146.44	Facility		$29.49	$85.00	$146.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $49.96	Professional		$30.23	$30.23	$49.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $37.78 / $43.83	Professional		$30.30	$37.78	$43.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $39.36	Professional		$30.23	$30.23	$39.36