Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $60.19 / $88.78	Facility		$23.06	$60.19	$88.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $23.06 / $26.68	Professional		$15.27	$23.06	$26.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $31.71 / $51.02	Facility		$25.46	$31.71	$51.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $14.24 / $31.94	Professional		$14.24	$14.24	$31.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $28.83 / $38.92	Facility		$19.23	$28.83	$38.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $37.47 / $38.92	Professional		$24.51	$37.47	$38.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $29.68 / $109.36	Facility		$18.73	$29.68	$109.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $23.14 / $41.97	Professional		$14.69	$23.14	$41.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $29.68 / $112.00	Facility		$18.73	$29.68	$112.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $18.73 / $38.71	Professional		$14.69	$18.73	$38.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $23.78 / $34.59	Professional		$21.62	$23.78	$34.59
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $17.30 / $38.08	Professional		$12.11	$17.30	$38.08