Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $33.33 / $48.47	Facility		$12.59	$33.33	$48.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $12.59 / $14.95	Professional		$8.33	$12.59	$14.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $17.30 / $27.86	Facility		$13.90	$17.30	$27.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $17.36	Professional		$7.77	$7.77	$17.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $15.74 / $21.25	Facility		$12.64	$15.74	$21.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $20.46 / $21.25	Professional		$13.38	$20.46	$21.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.20 / $59.69	Facility		$10.23	$16.20	$59.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $12.63 / $22.91	Professional		$7.93	$12.63	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.20 / $60.75	Facility		$10.23	$16.20	$60.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $10.23 / $21.13	Professional		$7.93	$10.23	$21.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $14.17 / $19.48	Professional		$11.81	$14.17	$19.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.23 / $21.99	Professional		$6.61	$10.23	$21.99