Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $36.43 / $56.56	Facility		$14.69	$36.43	$56.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $14.69 / $18.36	Professional		$14.69	$14.69	$18.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $20.20 / $32.49	Facility		$16.21	$20.20	$32.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $8.10 / $19.82	Professional		$7.57	$8.10	$19.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $18.36 / $24.79	Facility		$13.69	$18.36	$24.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $23.87 / $24.79	Professional		$15.61	$23.87	$24.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $18.89 / $61.29	Facility		$11.93	$18.89	$61.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.17 / $26.33	Professional		$8.42	$13.17	$26.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $18.89 / $62.63	Facility		$11.93	$18.89	$62.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.73 / $22.03	Professional		$8.42	$10.73	$22.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $16.52 / $22.72	Professional		$13.77	$16.52	$22.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $11.02 / $24.92	Professional		$7.71	$11.02	$24.92