Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $31.59 / $48.97	Facility		$12.72	$31.59	$48.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $12.72 / $48.97	Professional		$12.72	$12.72	$48.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $17.48 / $28.14	Facility		$14.04	$17.48	$28.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $17.17	Professional		$7.36	$7.36	$17.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $15.90 / $21.47	Facility		$10.70	$15.90	$21.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $20.67 / $21.47	Professional		$13.52	$20.67	$21.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $16.38 / $49.93	Facility		$10.34	$16.38	$49.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $11.97 / $22.72	Professional		$7.60	$11.97	$22.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $16.38 / $56.49	Facility		$10.34	$16.38	$56.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $9.77 / $20.02	Professional		$7.60	$9.77	$20.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $13.12 / $19.08	Professional		$11.93	$13.12	$19.08
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $9.53 / $22.63	Professional		$6.68	$9.53	$22.63