Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $34.77 / $81.55	Facility		$19.12	$34.77	$81.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $21.66 / $27.07	Professional		$13.53	$21.66	$27.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $29.78 / $47.91	Facility		$23.90	$29.78	$47.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $10.83 / $21.61	Professional		$7.20	$10.83	$21.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $27.07 / $36.54	Facility		$17.04	$27.07	$36.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $35.19 / $36.54	Professional		$23.01	$35.19	$36.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $27.86 / $92.40	Facility		$13.33	$27.86	$92.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $12.38 / $35.79	Professional		$5.52	$12.38	$35.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $27.88 / $105.27	Facility		$13.33	$27.88	$105.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $11.57 / $17.60	Professional		$5.52	$11.57	$17.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $22.33 / $32.47	Professional		$20.30	$22.33	$32.47
United Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $9.75 / $24.36	Facility		$9.75	$9.75	$24.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $13.08 / $35.46	Professional		$5.09	$13.08	$35.46