Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $53.87 / $79.45	Facility		$20.64	$53.87	$79.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $20.64 / $25.80	Professional		$20.64	$20.64	$25.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $28.38 / $45.66	Facility		$22.78	$28.38	$45.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $12.74 / $28.31	Professional		$12.74	$12.74	$28.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $25.80 / $34.83	Facility		$17.60	$25.80	$34.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $33.54 / $34.83	Professional		$21.93	$33.54	$34.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $26.56 / $97.86	Facility		$16.77	$26.56	$97.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $20.70 / $37.56	Professional		$13.04	$20.70	$37.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $26.56 / $99.84	Facility		$16.77	$26.56	$99.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $16.77 / $34.64	Professional		$13.04	$16.77	$34.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $21.28 / $30.96	Professional		$19.35	$21.28	$30.96
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.48 / $37.59	Professional		$10.84	$15.48	$37.59