Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $43.19 / $72.61	Facility		$18.38	$43.19	$72.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $16.73 / $21.83	Professional		$11.49	$16.73	$21.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $25.28 / $40.67	Facility		$20.29	$25.28	$40.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $9.19 / $24.81	Professional		$7.81	$9.19	$24.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $22.98 / $31.02	Facility		$15.33	$22.98	$31.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $29.87 / $31.02	Professional		$19.53	$29.87	$31.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $23.66 / $72.50	Facility		$14.94	$23.66	$72.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $14.94 / $33.04	Professional		$10.57	$14.94	$33.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $23.66 / $78.44	Facility		$14.94	$23.66	$78.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $13.57 / $22.65	Professional		$10.57	$13.57	$22.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $18.96 / $27.58	Professional		$17.23	$18.96	$27.58
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $13.79 / $30.10	Professional		$9.65	$13.79	$30.10