Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $37.76 / $37.76	Facility		$37.76	$37.76	$37.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $37.76 / $40.11	Professional		$37.76	$37.76	$40.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $40.11	Professional		$0.02	$0.02	$40.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $81.30	Facility		$66.51	$66.51	$81.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $47.20	Professional		$40.11	$40.11	$47.20
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 $39.33 / $39.33 / $49.40	Professional		$39.33	$39.33	$49.40