Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $27.52 / $49.28	Facility		$12.80	$27.52	$49.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $15.20	Professional		$12.80	$12.80	$15.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $17.60 / $28.32	Facility		$14.13	$17.60	$28.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.92 / $12.28	Professional		$5.03	$5.92	$12.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $20.80 / $374.40	Facility		$12.00	$20.80	$374.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $34.65 / $438.62	Professional		$16.57	$34.65	$438.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $16.47 / $62.06	Facility		$10.40	$16.47	$62.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $18.17 / $22.72	Professional		$10.40	$18.17	$22.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $16.47 / $62.06	Facility		$10.40	$16.47	$62.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.60 / $19.20	Professional		$6.72	$9.60	$19.20