Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $39.52 / $69.64	Facility		$18.38	$39.52	$69.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $18.38 / $33.17	Professional		$18.38	$18.38	$33.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $25.27 / $40.65	Facility		$20.28	$25.27	$40.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $9.19 / $22.97	Professional		$7.81	$9.19	$22.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $22.97 / $31.01	Facility		$14.06	$22.97	$31.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $29.86 / $31.01	Professional		$19.52	$29.86	$31.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $23.65 / $78.38	Facility		$14.93	$23.65	$78.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $14.93 / $33.04	Professional		$10.57	$14.93	$33.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $23.65 / $89.09	Facility		$11.30	$23.65	$89.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $12.04 / $23.12	Professional		$10.57	$12.04	$23.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $20.67 / $28.42	Professional		$17.23	$20.67	$28.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $13.78 / $27.56	Professional		$9.65	$13.78	$27.56