Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $40.08 / $100.00	Facility		$21.69	$40.08	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $21.69 / $27.11	Professional		$13.56	$21.69	$27.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $29.82 / $47.98	Facility		$23.94	$29.82	$47.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $27.11	Professional		$10.84	$10.84	$27.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $27.11 / $36.60	Facility		$14.38	$27.11	$36.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $35.24 / $36.60	Professional		$23.04	$35.24	$36.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $27.91 / $92.51	Facility		$17.62	$27.91	$92.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $16.91 / $39.24	Professional		$11.32	$16.91	$39.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $27.91 / $105.27	Facility		$13.34	$27.91	$105.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $12.38 / $18.46	Professional		$10.88	$12.38	$18.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $22.36 / $32.52	Professional		$20.32	$22.36	$32.52
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $14.78 / $32.53	Professional		$10.34	$14.78	$32.53