Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $26.09 / $164.12	Facility		$14.91	$26.09	$164.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $13.48 / $14.91	Professional		$11.74	$13.48	$14.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $20.50 / $32.99	Facility		$16.46	$20.50	$32.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $18.64	Professional		$7.46	$7.46	$18.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $18.64 / $25.16	Facility		$15.84	$18.64	$25.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $24.23 / $25.16	Professional		$15.84	$24.23	$25.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $19.19 / $39.27	Facility		$12.12	$19.19	$39.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $16.36 / $26.85	Professional		$8.55	$16.36	$26.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $19.20 / $39.27	Facility		$12.12	$19.20	$39.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $10.28 / $23.07	Professional		$8.55	$10.28	$23.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $15.37 / $22.36	Professional		$13.98	$15.37	$22.36
United Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $16.78	Facility		$6.71	$6.71	$16.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $24.42	Professional		$7.83	$11.18	$24.42