Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $54.44 / $80.31	Facility		$20.86	$54.44	$80.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $37.64	Professional		$20.86	$20.86	$37.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $28.16 / $46.14	Facility		$23.02	$28.16	$46.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $16.07 / $38.06	Professional		$12.87	$16.07	$38.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $32.59 / $39.11	Facility		$26.07	$32.59	$39.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $35.19 / $62.57	Professional		$33.89	$35.19	$62.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $32.88 / $148.82	Facility		$26.83	$32.88	$148.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $23.55 / $61.61	Professional		$13.21	$23.55	$61.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $32.88 / $148.82	Facility		$26.83	$32.88	$148.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $23.55 / $62.75	Professional		$13.21	$23.55	$62.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $23.46 / $32.25	Professional		$20.52	$23.46	$32.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.64 / $36.42	Professional		$10.95	$15.64	$36.42