Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $33.68 / $48.30	Facility		$15.46	$33.68	$48.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $15.46 / $27.90	Professional		$15.46	$15.46	$27.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $21.25 / $34.19	Facility		$17.05	$21.25	$34.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $9.34 / $20.86	Professional		$4.00	$9.34	$20.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $19.32 / $26.08	Facility		$10.44	$19.32	$26.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $25.12 / $26.08	Professional		$16.42	$25.12	$26.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $19.89 / $42.66	Facility		$12.56	$19.89	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $15.18 / $27.88	Professional		$9.58	$15.18	$27.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $19.89 / $71.72	Facility		$12.56	$19.89	$71.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $12.46 / $25.39	Professional		$9.58	$12.46	$25.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $17.38 / $23.90	Professional		$14.49	$17.38	$23.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.59 / $31.16	Professional		$8.11	$11.59	$31.16