Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $33.59 / $57.38	Facility		$18.12	$33.59	$57.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $18.12 / $40.74	Professional		$12.00	$18.12	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $24.92 / $40.08	Facility		$20.00	$24.92	$40.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $24.46	Professional		$11.18	$11.18	$24.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $22.65 / $30.58	Facility		$15.46	$22.65	$30.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $29.45 / $30.58	Professional		$19.25	$29.45	$30.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $23.32 / $85.89	Facility		$14.72	$23.32	$85.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $18.17 / $32.97	Professional		$11.56	$18.17	$32.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $23.32 / $87.73	Facility		$14.72	$23.32	$87.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $14.72 / $30.40	Professional		$11.56	$14.72	$30.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.68 / $27.18	Professional		$16.98	$18.68	$27.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $13.59 / $29.67	Professional		$8.44	$13.59	$29.67