Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $44.53 / $165.42	Facility		$16.04	$44.53	$165.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $16.04 / $23.42	Professional		$16.04	$16.04	$23.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $22.06 / $35.47	Facility		$17.70	$22.06	$35.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $25.48	Professional		$9.90	$9.90	$25.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $21.05 / $30.08	Facility		$15.29	$21.05	$30.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $26.07 / $48.12	Professional		$17.04	$26.07	$48.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $20.64 / $67.18	Facility		$13.03	$20.64	$67.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $18.77 / $38.89	Professional		$10.24	$18.77	$38.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $20.64 / $76.02	Facility		$13.03	$20.64	$76.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $15.42 / $38.89	Professional		$10.24	$15.42	$38.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $17.29 / $24.06	Professional		$15.04	$17.29	$24.06
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.03 / $29.21	Professional		$8.42	$12.03	$29.21