Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $56.45 / $92.48	Facility		$24.02	$56.45	$92.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $24.02 / $43.34	Professional		$19.10	$24.02	$43.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.52 / $32.43 / $53.14	Facility		$26.52	$32.43	$53.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $15.61 / $42.04	Professional		$12.01	$15.61	$42.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $37.54 / $45.05	Facility		$30.03	$37.54	$45.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $40.54 / $72.06	Professional		$39.04	$40.54	$72.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $34.15 / $171.39	Facility		$26.80	$34.15	$171.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $20.86 / $58.33	Professional		$12.77	$20.86	$58.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $34.15 / $171.39	Facility		$26.80	$34.15	$171.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $19.82 / $58.33	Professional		$12.56	$19.82	$58.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $27.02 / $37.15	Professional		$23.64	$27.02	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $18.02 / $39.65	Professional		$12.06	$18.02	$39.65