Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $35.33 / $73.73	Facility		$19.57	$35.33	$73.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $29.30	Professional		$19.57	$19.57	$29.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $26.93 / $43.32	Facility		$21.62	$26.93	$43.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $9.78 / $24.48	Professional		$9.78	$9.78	$24.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $24.48 / $33.04	Facility		$16.94	$24.48	$33.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $31.82 / $33.04	Professional		$20.81	$31.82	$33.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $25.19 / $83.53	Facility		$14.74	$25.19	$83.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $13.12 / $35.11	Professional		$8.36	$13.12	$35.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $25.20 / $94.47	Facility		$12.05	$25.20	$94.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $12.35 / $17.70	Professional		$8.36	$12.35	$17.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $20.19 / $29.37	Professional		$13.46	$20.19	$29.37
United Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $12.24 / $39.49	Professional		$7.74	$12.24	$39.49