Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $29.87 / $51.10	Facility		$14.22	$29.87	$51.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $25.66	Professional		$14.22	$14.22	$25.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $19.55 / $31.45	Facility		$15.69	$19.55	$31.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $19.19	Professional		$7.44	$7.44	$19.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $17.77 / $23.99	Facility		$11.85	$17.77	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $23.10 / $23.99	Professional		$15.10	$23.10	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $18.30 / $60.64	Facility		$11.55	$18.30	$60.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.10 / $25.81	Professional		$8.09	$12.10	$25.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $18.30 / $68.84	Facility		$9.86	$18.30	$68.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $9.94 / $20.25	Professional		$8.09	$9.94	$20.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.99 / $21.99	Professional		$13.33	$15.99	$21.99
United Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $10.60 / $21.32	Professional		$7.42	$10.60	$21.32