Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $31.84 / $46.28	Facility		$12.02	$31.84	$46.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $21.69	Professional		$12.02	$12.02	$21.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $16.52 / $26.58	Facility		$13.26	$16.52	$26.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $7.42 / $16.22	Professional		$7.42	$7.42	$16.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $15.02 / $20.28	Facility		$10.68	$15.02	$20.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $19.53 / $20.28	Professional		$12.77	$19.53	$20.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $15.46 / $56.96	Facility		$9.76	$15.46	$56.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.06 / $21.86	Professional		$7.60	$12.06	$21.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $15.46 / $58.03	Facility		$9.76	$15.46	$58.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $9.76 / $20.17	Professional		$7.60	$9.76	$20.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $13.52 / $18.59	Professional		$11.27	$13.52	$18.59
United Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $5.41 / $13.52	Facility		$5.41	$5.41	$13.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.21 / $20.99	Professional		$6.31	$9.21	$20.99