Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $39.69	Facility		$33.92	$33.92	$39.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $34.94	Professional		$33.92	$33.92	$34.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $39.34 / $69.89	Professional		$33.92	$39.34	$69.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $51.22	Facility		$33.92	$33.92	$51.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $45.79	Professional		$33.92	$33.92	$45.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $33.92	Facility		$32.00	$32.00	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $40.00	Professional		$33.92	$33.92	$40.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $66.14 / $97.47	Professional		$37.31	$66.14	$97.47
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $44.44	Professional		$33.92	$33.92	$44.44