Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $49.97 / $80.81	Facility		$20.99	$49.97	$80.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $26.24	Professional		$20.99	$20.99	$26.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $28.86 / $46.44	Facility		$23.17	$28.86	$46.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $28.33	Professional		$11.65	$11.65	$28.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $26.24 / $35.42	Facility		$17.50	$26.24	$35.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $34.11 / $35.42	Professional		$22.30	$34.11	$35.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $27.02 / $89.57	Facility		$17.05	$27.02	$89.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $18.93 / $37.69	Professional		$12.05	$18.93	$37.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $27.02 / $101.20	Facility		$15.42	$27.02	$101.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $15.46 / $31.68	Professional		$12.05	$15.46	$31.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $23.61 / $32.47	Professional		$19.68	$23.61	$32.47
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $15.74 / $34.36	Professional		$11.02	$15.74	$34.36