Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $28.60 / $62.91	Facility		$10.13	$28.60	$62.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $16.34 / $19.39	Professional		$12.86	$16.34	$19.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $22.46 / $36.14	Facility		$18.03	$22.46	$36.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $10.08 / $22.05	Professional		$8.77	$10.08	$22.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $20.42 / $27.57	Facility		$13.93	$20.42	$27.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $26.55 / $27.57	Professional		$17.36	$26.55	$27.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $21.02 / $77.44	Facility		$13.27	$21.02	$77.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $16.39 / $29.72	Professional		$10.40	$16.39	$29.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $21.02 / $116.51	Facility		$13.27	$21.02	$116.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $13.27 / $27.41	Professional		$10.40	$13.27	$27.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $16.85 / $24.51	Professional		$15.32	$16.85	$24.51
United Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $20.42 / $20.42	Facility		$13.27	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $11.23 / $26.97	Professional		$2.74	$11.23	$26.97