Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $56.12 / $96.83	Facility		$21.50	$56.12	$96.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $21.50 / $38.79	Professional		$19.10	$21.50	$38.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $29.03 / $47.57	Facility		$23.74	$29.03	$47.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $12.90 / $37.28	Professional		$10.75	$12.90	$37.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $33.60 / $40.32	Facility		$26.88	$33.60	$40.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $36.29 / $64.51	Professional		$34.94	$36.29	$64.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.57 / $153.38	Facility		$23.99	$30.57	$153.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $20.86 / $52.30	Professional		$12.22	$20.86	$52.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.57 / $153.38	Facility		$23.99	$30.57	$153.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $19.82 / $52.30	Professional		$12.23	$19.82	$52.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $24.19 / $33.26	Professional		$21.16	$24.19	$33.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $16.13 / $35.21	Professional		$11.29	$16.13	$35.21