Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $44.82 / $69.03	Facility		$17.93	$44.82	$69.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.54 / $20.60	Professional		$11.21	$17.54	$20.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $24.65 / $39.65	Facility		$19.79	$24.65	$39.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $24.20	Professional		$9.56	$9.56	$24.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $22.41 / $30.25	Facility		$14.95	$22.41	$30.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.13 / $30.25	Professional		$19.05	$29.13	$30.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $23.08 / $64.81	Facility		$14.57	$23.08	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $15.53 / $32.01	Professional		$10.24	$15.53	$32.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $23.08 / $76.48	Facility		$14.57	$23.08	$76.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $12.62 / $25.99	Professional		$10.24	$12.62	$25.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $20.17 / $27.73	Professional		$16.80	$20.17	$27.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $13.45 / $29.36	Professional		$9.41	$13.45	$29.36