Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $50.72 / $64.00	Facility		$50.72	$50.72	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $52.24	Professional		$50.72	$50.72	$52.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $58.83 / $105.03	Professional		$50.72	$58.83	$105.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $50.72 / $86.22	Facility		$50.72	$50.72	$86.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $68.47	Professional		$50.72	$50.72	$68.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.84 / $47.84 / $50.71	Facility		$47.84	$47.84	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $74.88	Professional		$50.71	$50.71	$74.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $97.75 / $97.75 / $97.75	Facility		$97.75	$97.75	$97.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $74.88	Professional		$50.71	$50.71	$74.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $60.08 / $73.54	Professional		$49.95	$60.08	$73.54
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $65.23	Professional		$50.72	$50.72	$65.23