Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $34.59 / $56.67	Facility		$14.72	$34.59	$56.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $14.72 / $14.72	Professional		$9.57	$14.72	$14.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $19.87	Professional		$9.35	$9.35	$19.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $23.92 / $430.56	Facility		$15.64	$23.92	$430.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $40.32 / $510.30	Professional		$19.28	$40.32	$510.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $18.94 / $105.01	Facility		$11.96	$18.94	$105.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $21.06 / $26.33	Professional		$11.96	$21.06	$26.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $18.94 / $105.01	Facility		$11.96	$18.94	$105.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $11.96 / $11.96	Professional		$11.96	$11.96	$11.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $11.04 / $24.10	Professional		$7.73	$11.04	$24.10