Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $29.23 / $43.12	Facility		$11.20	$29.23	$43.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.20 / $19.22	Professional		$11.20	$11.20	$19.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $15.40 / $24.78	Facility		$12.36	$15.40	$24.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $15.12	Professional		$6.92	$6.92	$15.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $14.00 / $18.89	Facility		$11.24	$14.00	$18.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $18.20 / $18.89	Professional		$11.90	$18.20	$18.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $14.41 / $53.08	Facility		$9.10	$14.41	$53.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $11.24 / $20.38	Professional		$7.10	$11.24	$20.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $14.41 / $53.97	Facility		$9.10	$14.41	$53.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $9.10 / $18.80	Professional		$7.10	$9.10	$18.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $11.55 / $16.80	Professional		$7.70	$11.55	$16.80
United Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Facility		$16.80	$16.80	$16.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $8.59 / $25.00	Professional		$5.88	$8.59	$25.00