Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $42.39 / $125.00	Facility		$19.14	$42.39	$125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $18.11 / $26.68	Professional		$10.75	$18.11	$26.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $22.31 / $35.89	Facility		$17.91	$22.31	$35.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $21.90	Professional		$10.02	$10.02	$21.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $20.28 / $27.38	Facility		$13.84	$20.28	$27.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $26.36 / $27.38	Professional		$17.23	$26.36	$27.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.88 / $77.30	Facility		$13.18	$20.88	$77.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $16.28 / $29.51	Professional		$10.24	$16.28	$29.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $21.22 / $77.30	Facility		$13.18	$21.22	$77.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $15.14 / $27.23	Professional		$10.24	$15.14	$27.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $16.73 / $24.33	Professional		$15.21	$16.73	$24.33
United Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $24.34 / $24.34	Facility		$24.34	$24.34	$24.34
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.17 / $28.34	Professional		$8.52	$12.17	$28.34