Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $29.45 / $55.71	Facility		$14.47	$29.45	$55.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $14.47 / $17.19	Professional		$14.47	$14.47	$17.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $19.89 / $32.01	Facility		$15.97	$19.89	$32.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.11 / $12.48	Professional		$2.02	$2.11	$12.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $23.52 / $423.31	Facility		$13.57	$23.52	$423.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $39.60 / $501.20	Professional		$18.93	$39.60	$501.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $18.63 / $70.19	Facility		$11.76	$18.63	$70.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $20.65 / $25.81	Professional		$11.76	$20.65	$25.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $18.63 / $70.19	Facility		$8.91	$18.63	$70.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $11.76	Professional		$11.76	$11.76	$11.76
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $10.85 / $21.71	Professional		$7.60	$10.85	$21.71