Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $29.05 / $74.76	Facility		$11.13	$29.05	$74.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $11.13 / $20.95	Professional		$6.95	$11.13	$20.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $15.30 / $24.62	Facility		$12.28	$15.30	$24.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $9.98	Professional		$5.92	$5.92	$9.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $13.91 / $18.78	Facility		$10.37	$13.91	$18.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $18.07 / $18.78	Professional		$11.82	$18.07	$18.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $14.32 / $39.17	Facility		$9.03	$14.32	$39.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $11.22 / $20.13	Professional		$6.44	$11.22	$20.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $15.82 / $80.54	Facility		$9.03	$15.82	$80.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $9.03 / $16.09	Professional		$6.44	$9.03	$16.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $11.47 / $16.68	Professional		$10.43	$11.47	$16.68
United Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $16.69 / $16.69	Facility		$16.69	$16.69	$16.69
United Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $8.35 / $18.21	Professional		$5.84	$8.35	$18.21