Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $31.42 / $65.55	Facility		$17.41	$31.42	$65.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $17.41 / $32.64	Professional		$13.71	$17.41	$32.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $23.94 / $38.51	Facility		$19.21	$23.94	$38.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $7.51 / $13.06	Professional		$5.87	$7.51	$13.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $21.76 / $29.38	Facility		$15.11	$21.76	$29.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $28.29 / $29.38	Professional		$18.50	$28.29	$29.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $22.40 / $74.23	Facility		$14.14	$22.40	$74.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $14.14 / $30.98	Professional		$9.91	$14.14	$30.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $22.40 / $83.66	Facility		$10.73	$22.40	$83.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $12.30 / $20.11	Professional		$7.57	$12.30	$20.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.95 / $26.11	Professional		$11.97	$17.95	$26.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $12.32 / $31.70	Professional		$7.14	$12.32	$31.70