Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $15,399.44 / $53,651.18	Facility		$24.89	$15,399.44	$53,651.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $24.89 / $26.44	Professional		$24.89	$24.89	$26.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $75.00	Facility		$54.00	$54.00	$75.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $34.84 / $56.36	Professional		$31.11	$34.84	$56.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.20 / $56.70 / $69.30	Facility		$46.20	$56.70	$69.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $31.11 / $31.11	Facility		$31.11	$31.11	$31.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $32.92	Professional		$31.11	$31.11	$32.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $53.64 / $102.35	Facility		$33.83	$53.64	$102.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $44.03	Professional		$31.11	$31.11	$44.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $38.88 / $45.10	Professional		$31.11	$38.88	$45.10
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $38.61	Professional		$31.11	$31.11	$38.61