Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $56.63 / $96.17	Facility		$24.98	$56.63	$96.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $24.98 / $45.08	Professional		$19.10	$24.98	$45.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $33.72 / $55.25	Facility		$27.57	$33.72	$55.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $16.23 / $43.30	Professional		$12.49	$16.23	$43.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $39.03 / $46.83	Facility		$31.22	$39.03	$46.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $42.15 / $74.93	Professional		$40.59	$42.15	$74.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $36.19 / $178.15	Facility		$27.86	$36.19	$178.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $20.86 / $60.34	Professional		$12.77	$20.86	$60.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $36.19 / $178.15	Facility		$27.86	$36.19	$178.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $19.82 / $60.34	Professional		$12.56	$19.82	$60.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $28.10 / $38.64	Professional		$24.59	$28.10	$38.64
United Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $28.10	Facility		$11.24	$11.24	$28.10
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $18.73 / $45.49	Professional		$12.29	$18.73	$45.49