Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $29.71 / $53.21	Facility		$13.82	$29.71	$53.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $16.41	Professional		$13.82	$13.82	$16.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $5.92 / $15.87	Professional		$5.67	$5.92	$15.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $17.27 / $336.77	Facility		$15.62	$17.27	$336.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $21.09 / $316.31	Professional		$14.68	$21.09	$316.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $17.79 / $98.60	Facility		$11.23	$17.79	$98.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $19.82 / $24.78	Professional		$11.23	$19.82	$24.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $17.79 / $98.60	Facility		$11.23	$17.79	$98.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Professional		$11.23	$11.23	$11.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $6.22 / $15.54	Facility		$6.22	$6.22	$15.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $22.62	Professional		$7.25	$10.36	$22.62