Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $20.32 / $35.18	Facility		$11.26	$20.32	$35.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $11.26 / $13.37	Professional		$7.04	$11.26	$13.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $15.48 / $24.90	Facility		$12.42	$15.48	$24.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $5.63 / $14.07	Professional		$3.35	$5.63	$14.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $14.07 / $18.98	Facility		$8.30	$14.07	$18.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $18.29 / $18.98	Professional		$11.96	$18.29	$18.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $14.48 / $48.04	Facility		$6.94	$14.48	$48.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.44 / $20.13	Professional		$3.80	$6.44	$20.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $14.49 / $53.97	Facility		$6.94	$14.49	$53.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $6.44 / $9.15	Professional		$3.78	$6.44	$9.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $11.60 / $16.88	Professional		$10.55	$11.60	$16.88
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $7.74 / $16.88	Professional		$3.54	$7.74	$16.88