Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $52.95 / $78.69	Facility		$20.44	$52.95	$78.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $20.44 / $24.27	Professional		$13.53	$20.44	$24.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $28.11 / $45.22	Facility		$22.56	$28.11	$45.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $27.59	Professional		$12.35	$12.35	$27.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $25.55 / $34.49	Facility		$17.04	$25.55	$34.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $33.22 / $34.49	Professional		$21.72	$33.22	$34.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $26.31 / $94.82	Facility		$16.61	$26.31	$94.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $20.07 / $36.65	Professional		$12.71	$20.07	$36.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $26.31 / $98.53	Facility		$16.35	$26.31	$98.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $16.41 / $33.59	Professional		$12.71	$16.41	$33.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $21.07 / $30.66	Professional		$19.16	$21.07	$30.66
United Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.33 / $34.94	Professional		$10.73	$15.33	$34.94