Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.47 / $35.67 / $51.86	Facility		$13.47	$35.67	$51.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $24.10	Professional		$13.47	$13.47	$24.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $18.52 / $29.80	Facility		$14.87	$18.52	$29.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $18.18	Professional		$8.32	$8.32	$18.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $16.84 / $22.73	Facility		$12.84	$16.84	$22.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $21.89 / $22.73	Professional		$14.31	$21.89	$22.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $17.34 / $63.84	Facility		$10.95	$17.34	$63.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $13.51 / $24.51	Professional		$8.59	$13.51	$24.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $17.34 / $64.77	Facility		$10.95	$17.34	$64.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.95 / $22.60	Professional		$8.59	$10.95	$22.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $15.15 / $20.83	Professional		$12.63	$15.15	$20.83
United Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $10.10 / $23.52	Professional		$7.07	$10.10	$23.52