Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $58.24 / $84.65	Facility		$27.09	$58.24	$84.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $27.09 / $32.51	Professional		$16.92	$27.09	$32.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $37.25 / $59.92	Facility		$29.90	$37.25	$59.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $33.86	Professional		$13.54	$13.54	$33.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.86 / $45.71	Facility		$20.42	$33.86	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $44.02 / $45.71	Professional		$28.78	$44.02	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $34.86 / $92.71	Facility		$22.01	$34.86	$92.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $22.01 / $49.04	Professional		$15.52	$22.01	$49.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $34.86 / $115.55	Facility		$16.68	$34.86	$115.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $17.71 / $33.34	Professional		$15.52	$17.71	$33.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $27.94 / $40.64	Professional		$25.40	$27.94	$40.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $44.36	Professional		$14.22	$20.32	$44.36