Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $31.61 / $67.45	Facility		$17.52	$31.61	$67.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $24.78	Professional		$17.52	$17.52	$24.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $24.09 / $38.76	Facility		$19.34	$24.09	$38.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $23.65	Professional		$8.76	$8.76	$23.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $21.90 / $29.57	Facility		$16.32	$21.90	$29.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.47 / $29.57	Professional		$18.62	$28.47	$29.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $22.56 / $74.76	Facility		$14.24	$22.56	$74.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $14.24 / $31.49	Professional		$10.07	$14.24	$31.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $22.56 / $85.02	Facility		$11.53	$22.56	$85.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $11.52 / $23.69	Professional		$10.07	$11.52	$23.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $19.71 / $27.10	Professional		$16.43	$19.71	$27.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $13.14 / $28.69	Professional		$6.72	$13.14	$28.69