Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $44.05 / $64.91	Facility		$16.86	$44.05	$64.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $16.86 / $56.81	Professional		$11.16	$16.86	$56.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $23.18 / $37.29	Facility		$18.60	$23.18	$37.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.40 / $23.40	Professional		$10.40	$10.40	$23.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $21.07 / $28.44	Facility		$14.38	$21.07	$28.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $27.39 / $28.44	Professional		$17.91	$27.39	$28.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $21.70 / $135.59	Facility		$13.70	$21.70	$135.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $16.91 / $30.67	Professional		$10.73	$16.91	$30.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $21.70 / $135.59	Facility		$13.70	$21.70	$135.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $13.71 / $28.29	Professional		$10.73	$13.71	$28.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $18.96 / $26.07	Professional		$15.80	$18.96	$26.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.92 / $27.83	Professional		$8.85	$12.92	$27.83