Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $26.83 / $48.05	Facility		$12.48	$26.83	$48.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $12.48 / $15.60	Professional		$11.05	$12.48	$15.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $17.16 / $27.61	Facility		$13.77	$17.16	$27.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.24 / $15.90	Professional		$6.24	$6.24	$15.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $15.60 / $21.06	Facility		$11.63	$15.60	$21.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $20.28 / $21.06	Professional		$13.26	$20.28	$21.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $16.05 / $53.24	Facility		$10.14	$16.05	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $10.14 / $22.20	Professional		$7.10	$10.14	$22.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $16.05 / $53.24	Facility		$7.84	$16.05	$53.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $8.15 / $16.09	Professional		$7.10	$8.15	$16.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $14.04 / $19.30	Professional		$11.70	$14.04	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $9.36 / $18.72	Professional		$6.55	$9.36	$18.72