Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $38.76 / $57.10	Facility		$14.83	$38.76	$57.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $14.83 / $17.61	Professional		$9.83	$14.83	$17.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $20.39 / $32.81	Facility		$16.37	$20.39	$32.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $20.02	Professional		$9.16	$9.16	$20.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $18.54 / $25.03	Facility		$12.65	$18.54	$25.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $24.10 / $25.03	Professional		$15.76	$24.10	$25.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $19.09 / $70.30	Facility		$12.05	$19.09	$70.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $14.88 / $26.99	Professional		$9.41	$14.88	$26.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $19.09 / $71.51	Facility		$12.05	$19.09	$71.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $12.05 / $24.92	Professional		$9.41	$12.05	$24.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $16.69 / $22.95	Professional		$13.91	$16.69	$22.95
United Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $22.25 / $22.25	Facility		$22.25	$22.25	$22.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.37 / $25.91	Professional		$7.79	$11.37	$25.91