Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $43.12 / $63.60	Facility		$16.52	$43.12	$63.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $23.58	Professional		$16.52	$16.52	$23.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $22.72 / $36.54	Facility		$18.23	$22.72	$36.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $22.76	Professional		$10.19	$10.19	$22.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $20.65 / $27.88	Facility		$14.09	$20.65	$27.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $26.85 / $27.88	Professional		$17.55	$26.85	$27.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $21.26 / $86.47	Facility		$13.42	$21.26	$86.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $16.57 / $30.06	Professional		$10.57	$16.57	$30.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $21.26 / $86.47	Facility		$13.42	$21.26	$86.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $13.42 / $27.73	Professional		$10.57	$13.42	$27.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.58 / $25.55	Professional		$15.49	$18.58	$25.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $12.39 / $28.85	Professional		$8.67	$12.39	$28.85