Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $34.13 / $59.50	Facility		$12.90	$34.13	$59.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $14.05 / $43.47	Professional		$8.55	$14.05	$43.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $17.73 / $28.55	Facility		$14.24	$17.73	$28.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $7.96 / $17.42	Professional		$7.96	$7.96	$17.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $16.13 / $21.78	Facility		$8.86	$16.13	$21.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $20.97 / $21.78	Professional		$13.71	$20.97	$21.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $16.60 / $36.38	Facility		$10.48	$16.60	$36.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $12.94 / $23.48	Professional		$8.26	$12.94	$23.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $16.60 / $61.16	Facility		$10.48	$16.60	$61.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.48 / $21.64	Professional		$8.26	$10.48	$21.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $13.31 / $19.36	Professional		$12.10	$13.31	$19.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.69 / $22.52	Professional		$6.77	$9.69	$22.52