Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $30.61 / $100.01	Facility		$12.86	$30.61	$100.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $12.86 / $15.43	Professional		$8.02	$12.86	$15.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $17.68 / $28.44	Facility		$14.19	$17.68	$28.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $16.07	Professional		$6.43	$6.43	$16.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $16.07 / $21.69	Facility		$11.98	$16.07	$21.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $20.89 / $21.69	Professional		$13.66	$20.89	$21.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $16.54 / $33.86	Facility		$10.45	$16.54	$33.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $10.45 / $23.23	Professional		$7.43	$10.45	$23.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $16.55 / $54.86	Facility		$10.45	$16.55	$54.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $8.32 / $16.09	Professional		$7.43	$8.32	$16.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $13.25 / $19.28	Professional		$12.05	$13.25	$19.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.64 / $21.05	Professional		$6.75	$9.64	$21.05