Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $38.21 / $119.00	Facility		$14.62	$38.21	$119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $15.33 / $17.37	Professional		$9.68	$15.33	$17.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $20.11 / $32.35	Facility		$16.14	$20.11	$32.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $19.73	Professional		$9.02	$9.02	$19.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $18.28 / $24.68	Facility		$12.47	$18.28	$24.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $23.76 / $24.68	Professional		$15.54	$23.76	$24.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $18.82 / $76.55	Facility		$11.88	$18.82	$76.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $14.66 / $26.61	Professional		$9.25	$14.66	$26.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $18.82 / $76.55	Facility		$11.88	$18.82	$76.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $11.88 / $24.53	Professional		$9.25	$11.88	$24.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $15.08 / $21.93	Professional		$13.71	$15.08	$21.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.97 / $25.54	Professional		$7.68	$10.97	$25.54