Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $70.00	Facility		$35.96	$35.96	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $35.96 / $38.20	Professional		$35.96	$35.96	$38.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $50.33 / $76.39	Professional		$44.94	$50.33	$76.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $25.34 / $41.81	Facility		$25.34	$25.34	$41.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $25.34 / $25.34	Professional		$25.34	$25.34	$25.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $50.99	Professional		$44.94	$44.94	$50.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $63.60	Professional		$44.94	$44.94	$63.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $56.17 / $65.16	Professional		$44.94	$56.17	$65.16
United Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $66.73	Professional		$50.94	$50.94	$66.73