Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $40.47 / $90.32	Facility		$5.71	$40.47	$90.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $23.98 / $43.27	Professional		$3.00	$23.98	$43.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $32.97 / $53.06	Facility		$26.47	$32.97	$53.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $11.99 / $18.75	Professional		$2.25	$11.99	$18.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $29.98 / $40.47	Facility		$13.37	$29.98	$40.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $38.97 / $40.47	Professional		$25.48	$38.97	$40.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $30.85 / $102.32	Facility		$5.79	$30.85	$102.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $13.70 / $39.46	Professional		$2.40	$13.70	$39.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $30.87 / $116.07	Facility		$4.76	$30.87	$116.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $3.85 / $19.48	Professional		$1.58	$3.85	$19.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $24.73 / $35.98	Professional		$22.49	$24.73	$35.98
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $17.98 / $34.13	Professional		$2.17	$17.98	$34.13