Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $54.23 / $121.01	Facility		$20.01	$54.23	$121.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $32.14 / $40.17	Professional		$32.14	$32.14	$40.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $44.19 / $71.09	Facility		$35.47	$44.19	$71.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $16.07 / $37.04	Professional		$7.20	$16.07	$37.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $40.17 / $54.23	Facility		$24.17	$40.17	$54.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $52.22 / $54.23	Professional		$34.14	$52.22	$54.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $35.85 / $84.60	Facility		$19.78	$35.85	$84.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $18.32 / $52.77	Professional		$6.62	$18.32	$52.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $41.33 / $137.08	Facility		$19.78	$41.33	$137.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $13.92 / $26.11	Professional		$6.62	$13.92	$26.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $36.15 / $49.71	Professional		$30.13	$36.15	$49.71
United Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $40.17 / $40.17	Facility		$7.11	$40.17	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $17.85 / $48.20	Professional		$5.42	$17.85	$48.20