Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $50.97 / $100.00	Facility		$21.69	$50.97	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $21.66 / $24.94	Professional		$13.38	$21.66	$24.94
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 $16.32 / $27.11 / $36.60	Facility		$16.32	$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 / $105.27	Facility		$17.62	$27.91	$105.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.90 / $39.24	Professional		$12.30	$12.90	$39.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $27.91 / $105.27	Facility		$17.62	$27.91	$105.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.88 / $22.56	Professional		$12.30	$12.88	$22.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $25.41 / $33.54	Professional		$20.32	$25.41	$33.54
United Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $9.76 / $24.40	Facility		$9.76	$9.76	$24.40
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.27 / $35.51	Professional		$11.39	$16.27	$35.51