Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $61.72	Facility		$52.75	$52.75	$61.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $54.33	Professional		$52.75	$52.75	$54.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $61.19 / $102.41	Professional		$52.75	$61.19	$102.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $79.65	Facility		$52.75	$52.75	$79.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $71.20	Professional		$52.75	$52.75	$71.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $49.77 / $52.75	Facility		$49.77	$49.77	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.39 / $72.20 / $96.93	Facility		$37.39	$72.20	$96.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $62.14 / $75.09	Professional		$51.79	$62.14	$75.09
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $65.45	Professional		$52.75	$52.75	$65.45