Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $31.90 / $103.50	Facility		$12.04	$31.90	$103.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.42 / $31.42	Professional		$12.04	$13.42	$31.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $16.55 / $26.63	Facility		$13.29	$16.55	$26.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $16.25	Professional		$7.44	$7.44	$16.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $15.05 / $20.32	Facility		$9.26	$15.05	$20.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $19.57 / $20.32	Professional		$12.79	$19.57	$20.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.49 / $63.04	Facility		$9.77	$15.49	$63.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.08 / $21.92	Professional		$7.60	$12.08	$21.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.49 / $63.04	Facility		$9.77	$15.49	$63.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.78 / $18.30	Professional		$7.79	$11.78	$18.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.41 / $18.06	Professional		$11.29	$12.41	$18.06
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $13.19 / $21.03	Professional		$9.02	$13.19	$21.03