Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $34.38 / $116.15	Facility		$13.16	$34.38	$116.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $13.16 / $23.75	Professional		$13.16	$13.16	$23.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $18.10 / $29.11	Facility		$14.53	$18.10	$29.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $17.76	Professional		$8.11	$8.11	$17.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.45 / $22.21	Facility		$11.22	$16.45	$22.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $21.39 / $22.21	Professional		$13.98	$21.39	$22.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $16.93 / $68.89	Facility		$10.69	$16.93	$68.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.20 / $23.95	Professional		$8.42	$13.20	$23.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $16.93 / $68.89	Facility		$10.69	$16.93	$68.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.70 / $22.10	Professional		$8.42	$10.70	$22.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $14.80 / $20.36	Professional		$12.34	$14.80	$20.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.10 / $23.00	Professional		$6.91	$10.10	$23.00