Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $49.86 / $110.70	Facility		$17.38	$49.86	$110.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $13.24 / $39.51	Professional		$10.84	$13.24	$39.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $18.21 / $29.29	Facility		$14.61	$18.21	$29.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $16.00 / $24.00	Professional		$8.57	$16.00	$24.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $17.38 / $22.34	Facility		$12.41	$17.38	$22.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $16.55 / $27.25	Professional		$10.76	$16.55	$27.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $17.03 / $34.86	Facility		$10.76	$17.03	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.29 / $23.75	Professional		$7.60	$12.29	$23.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $49.10 / $114.27	Facility		$14.77	$49.10	$114.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $12.30 / $20.11	Professional		$7.60	$12.30	$20.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $13.65 / $19.85	Professional		$12.41	$13.65	$19.85
United Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $19.86 / $19.86	Facility		$19.86	$19.86	$19.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $19.86	Professional		$14.00	$14.00	$19.86