Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $33.86 / $49.24	Facility		$12.79	$33.86	$49.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $12.79 / $23.08	Professional		$12.79	$12.79	$23.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $17.59 / $28.30	Facility		$14.12	$17.59	$28.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $7.90 / $17.36	Professional		$7.90	$7.90	$17.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $15.99 / $21.59	Facility		$12.83	$15.99	$21.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $20.79 / $21.59	Professional		$13.59	$20.79	$21.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $16.46 / $66.91	Facility		$10.39	$16.46	$66.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.83 / $23.27	Professional		$8.09	$12.83	$23.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $16.46 / $66.91	Facility		$10.39	$16.46	$66.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $10.39 / $21.47	Professional		$8.09	$10.39	$21.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $13.18 / $19.18	Professional		$11.99	$13.18	$19.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.59 / $22.33	Professional		$6.72	$9.59	$22.33