Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $44.53 / $71.16	Facility		$17.54	$44.53	$71.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $17.54 / $31.65	Professional		$17.54	$17.54	$31.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $23.67 / $38.79	Facility		$19.36	$23.67	$38.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $12.87 / $32.00	Professional		$9.90	$12.87	$32.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $27.40 / $32.88	Facility		$21.92	$27.40	$32.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $29.59 / $52.61	Professional		$28.50	$29.59	$52.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $24.94 / $125.12	Facility		$22.40	$24.94	$125.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $19.78 / $42.24	Professional		$10.24	$19.78	$42.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $24.94 / $125.12	Facility		$22.40	$24.94	$125.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $19.78 / $47.29	Professional		$10.24	$19.78	$47.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $19.72 / $27.12	Professional		$17.26	$19.72	$27.12
United Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $7.89 / $19.73	Facility		$7.89	$7.89	$19.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.15 / $30.44	Professional		$9.21	$13.15	$30.44