Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $47.40 / $84.05	Facility		$21.83	$47.40	$84.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $21.83 / $39.39	Professional		$19.10	$21.83	$39.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $29.47 / $48.30	Facility		$24.10	$29.47	$48.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $14.19 / $38.81	Professional		$10.92	$14.19	$38.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $34.11 / $40.94	Facility		$27.29	$34.11	$40.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $36.84 / $65.50	Professional		$35.47	$36.84	$65.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $31.05 / $155.76	Facility		$24.36	$31.05	$155.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $20.86 / $52.97	Professional		$12.55	$20.86	$52.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $31.05 / $155.76	Facility		$24.36	$31.05	$155.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $19.82 / $52.97	Professional		$12.55	$19.82	$52.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $24.56 / $33.77	Professional		$21.49	$24.56	$33.77
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $16.37 / $36.04	Professional		$11.46	$16.37	$36.04