Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $55.00	Facility		$38.54	$38.54	$55.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $39.70	Professional		$38.54	$38.54	$39.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $43.93 / $74.81	Professional		$38.54	$43.93	$74.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $63.57	Facility		$38.54	$38.54	$63.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $52.03	Professional		$38.54	$38.54	$52.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $36.36 / $38.54	Facility		$36.36	$36.36	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $54.54	Professional		$38.54	$38.54	$54.54
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 $38.54 / $38.54 / $74.79	Professional		$38.54	$38.54	$74.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $55.52 / $70.83	Professional		$42.39	$55.52	$70.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $49.56	Professional		$38.54	$38.54	$49.56