Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $51.24 / $99.26	Facility		$26.91	$51.24	$99.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $21.53 / $72.55	Professional		$18.10	$21.53	$72.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $29.06 / $47.62	Facility		$23.76	$29.06	$47.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $14.41 / $37.32	Professional		$10.76	$14.41	$37.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $33.64 / $40.36	Facility		$26.91	$33.64	$40.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $36.33 / $64.58	Professional		$34.97	$36.33	$64.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $30.61 / $153.56	Facility		$24.01	$30.61	$153.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $19.79 / $52.30	Professional		$12.14	$19.79	$52.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $33.93 / $155.82	Facility		$24.01	$33.93	$155.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $18.73 / $52.30	Professional		$11.90	$18.73	$52.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $24.21 / $33.29	Professional		$21.18	$24.21	$33.29
United Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $26.91 / $39.21	Professional		$15.92	$26.91	$39.21