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 $11.74 / $13.82 / $16.41	Professional		$11.74	$13.82	$16.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $19.10	Professional		$11.33	$11.33	$19.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $22.45 / $404.12	Facility		$14.68	$22.45	$404.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $37.49 / $474.47	Professional		$17.92	$37.49	$474.47
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
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 / $20.72	Professional		$7.25	$10.36	$20.72