Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $20.02 / $80.00	Facility		$20.02	$20.02	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $20.02 / $21.27	Professional		$20.02	$20.02	$21.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $25.01 / $34.46	Professional		$20.85	$25.01	$34.46
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 $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $25.02	Professional		$21.27	$21.27	$25.02
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 Facility Modifier Low / Median / High Price $25.02 / $25.02 / $25.02	Facility		$25.02	$25.02	$25.02
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $26.66	Professional		$21.48	$21.48	$26.66