Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $69.13 / $2,320.44	Facility		$30.32	$69.13	$2,320.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $31.23 / $1,667.49	Professional		$30.32	$31.23	$1,667.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $52.95 / $87.02	Facility		$32.75	$52.95	$87.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $57.60	Professional		$30.32	$30.32	$57.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $30.32 / $51.54	Facility		$30.32	$30.32	$51.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $40.93	Professional		$30.32	$30.32	$40.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $30.32	Facility		$23.58	$23.58	$30.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $524.99	Professional		$30.32	$30.32	$524.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.71 / $24.71 / $28.30	Facility		$24.71	$24.71	$28.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $524.99	Professional		$30.32	$30.32	$524.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $34.98 / $42.44	Professional		$30.78	$34.98	$42.44
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $33.75 / $37.58	Professional		$30.32	$33.75	$37.58