Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $48.45 / $106.31	Facility		$26.63	$48.45	$106.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $28.23 / $35.29	Professional		$26.63	$28.23	$35.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $38.82 / $62.45	Facility		$31.16	$38.82	$62.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $14.12 / $28.57	Professional		$9.52	$14.12	$28.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $35.29 / $47.64	Facility		$22.43	$35.29	$47.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.88 / $47.64	Professional		$30.00	$45.88	$47.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $36.31 / $120.44	Facility		$17.38	$36.31	$120.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $16.18 / $46.34	Professional		$7.60	$16.18	$46.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $36.34 / $136.32	Facility		$17.38	$36.34	$136.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $16.09 / $22.94	Professional		$7.57	$16.09	$22.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $31.76 / $43.67	Professional		$26.47	$31.76	$43.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $16.80 / $46.61	Professional		$7.22	$16.80	$46.61