Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $64.76 / $122.06	Facility		$24.78	$64.76	$122.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $26.02 / $29.43	Professional		$16.42	$26.02	$29.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $34.08 / $54.83	Facility		$27.36	$34.08	$54.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $33.45	Professional		$15.30	$15.30	$33.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $30.98 / $41.82	Facility		$21.14	$30.98	$41.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $40.27 / $41.82	Professional		$26.33	$40.27	$41.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $31.90 / $117.50	Facility		$20.14	$31.90	$117.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.86 / $45.10	Professional		$15.69	$24.86	$45.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $31.90 / $117.50	Facility		$20.14	$31.90	$117.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $20.14 / $41.62	Professional		$15.69	$20.14	$41.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $27.88 / $38.34	Professional		$23.24	$27.88	$38.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.59 / $43.28	Professional		$13.01	$18.59	$43.28