Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $56.02 / $91.78	Facility		$23.84	$56.02	$91.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $23.84 / $43.02	Professional		$19.10	$23.84	$43.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $32.18 / $52.74	Facility		$26.31	$32.18	$52.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $15.49 / $42.00	Professional		$11.92	$15.49	$42.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $37.25 / $44.70	Facility		$29.80	$37.25	$44.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $40.22 / $71.52	Professional		$38.74	$40.22	$71.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $33.90 / $170.07	Facility		$26.60	$33.90	$170.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $20.86 / $57.66	Professional		$12.77	$20.86	$57.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $33.90 / $170.07	Facility		$26.60	$33.90	$170.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $19.82 / $57.66	Professional		$12.56	$19.82	$57.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $26.82 / $36.87	Professional		$23.46	$26.82	$36.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $17.88 / $43.42	Professional		$12.29	$17.88	$43.42