Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $28.06 / $41.39	Facility		$10.75	$28.06	$41.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $10.75 / $19.39	Professional		$10.75	$10.75	$19.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $14.78 / $23.78	Facility		$11.87	$14.78	$23.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $6.64 / $14.79	Professional		$6.64	$6.64	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $13.44 / $18.14	Facility		$9.17	$13.44	$18.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $17.47 / $18.14	Professional		$11.42	$17.47	$18.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $13.84 / $56.25	Facility		$8.74	$13.84	$56.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.78 / $19.62	Professional		$6.77	$10.78	$19.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $13.84 / $56.25	Facility		$8.74	$13.84	$56.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $8.74 / $18.04	Professional		$6.77	$8.74	$18.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $11.08 / $16.12	Professional		$10.08	$11.08	$16.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $8.08 / $18.77	Professional		$5.64	$8.08	$18.77