Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $37.71 / $55.63	Facility		$14.45	$37.71	$55.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $24.30	Professional		$14.45	$14.45	$24.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $19.87 / $31.96	Facility		$15.95	$19.87	$31.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $20.76	Professional		$8.92	$8.92	$20.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $18.05 / $24.38	Facility		$12.32	$18.05	$24.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $23.48 / $24.38	Professional		$15.35	$23.48	$24.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $18.60 / $68.45	Facility		$11.74	$18.60	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $14.49 / $27.96	Professional		$9.25	$14.49	$27.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $18.60 / $70.19	Facility		$11.74	$18.60	$70.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $13.54 / $27.96	Professional		$9.25	$13.54	$27.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $14.90 / $21.68	Professional		$13.55	$14.90	$21.68
United Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $21.67 / $21.67	Facility		$21.67	$21.67	$21.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.21 / $29.07	Professional		$7.59	$12.21	$29.07