Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $30.23 / $52.35	Facility		$16.75	$30.23	$52.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $16.75 / $28.32	Professional		$16.75	$16.75	$28.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $23.03 / $37.06	Facility		$18.48	$23.03	$37.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $22.61	Professional		$9.30	$9.30	$22.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $20.94 / $28.27	Facility		$13.97	$20.94	$28.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $27.22 / $28.27	Professional		$17.80	$27.22	$28.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $21.56 / $71.45	Facility		$13.61	$21.56	$71.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $15.11 / $30.46	Professional		$9.58	$15.11	$30.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $21.56 / $80.95	Facility		$12.31	$21.56	$80.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $12.31 / $25.30	Professional		$9.58	$12.31	$25.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $17.28 / $25.13	Professional		$15.71	$17.28	$25.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.00 / $27.43	Professional		$7.59	$12.00	$27.43