Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $42.03 / $64.83	Facility		$16.84	$42.03	$64.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $30.39	Professional		$16.84	$16.84	$30.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $23.16 / $37.25	Facility		$18.59	$23.16	$37.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $22.73	Professional		$9.35	$9.35	$22.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $21.05 / $28.42	Facility		$14.04	$21.05	$28.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $27.37 / $28.42	Professional		$17.89	$27.37	$28.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $21.67 / $71.81	Facility		$13.68	$21.67	$71.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $15.19 / $30.46	Professional		$9.58	$15.19	$30.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $21.67 / $80.95	Facility		$12.38	$21.67	$80.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $12.46 / $25.42	Professional		$9.58	$12.46	$25.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $17.36 / $25.26	Professional		$15.79	$17.36	$25.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $12.63 / $27.58	Professional		$8.84	$12.63	$27.58