Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $50.42 / $77.65	Facility		$20.17	$50.42	$77.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $20.17 / $23.95	Professional		$13.08	$20.17	$23.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $27.73 / $44.61	Facility		$22.26	$27.73	$44.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $27.22	Professional		$11.62	$11.62	$27.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $25.21 / $34.03	Facility		$16.94	$25.21	$34.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $32.77 / $34.03	Professional		$21.43	$32.77	$34.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $25.96 / $89.25	Facility		$16.39	$25.96	$89.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $18.89 / $36.14	Professional		$11.89	$18.89	$36.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $25.96 / $97.18	Facility		$15.39	$25.96	$97.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $15.46 / $31.62	Professional		$11.89	$15.46	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $20.80 / $30.25	Professional		$18.91	$20.80	$30.25
United Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $30.25 / $30.25	Facility		$30.25	$30.25	$30.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $15.13 / $33.29	Professional		$10.46	$15.13	$33.29