Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $42.59 / $260.00	Facility		$42.59	$42.59	$260.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $42.59 / $45.25	Professional		$42.59	$42.59	$45.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.08 / $5.33	Professional		$2.37	$3.08	$5.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $78.72	Facility		$64.41	$64.41	$78.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $52.77	Professional		$45.25	$45.25	$52.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $55.05	Professional		$44.36	$44.36	$55.05