Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $43.88 / $72.27	Facility		$15.67	$43.88	$72.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $15.67 / $28.28	Professional		$15.67	$15.67	$28.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $21.55 / $34.67	Facility		$17.30	$21.55	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $23.76	Professional		$9.67	$9.67	$23.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $19.59 / $26.45	Facility		$14.32	$19.59	$26.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $25.47 / $47.02	Professional		$16.64	$25.47	$47.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $20.16 / $74.23	Facility		$12.73	$20.16	$74.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.72 / $28.51	Professional		$9.91	$15.72	$28.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $20.16 / $75.56	Facility		$12.73	$20.16	$75.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $13.54 / $28.15	Professional		$9.91	$13.54	$28.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $10.77 / $10.77	Professional		$10.77	$10.77	$10.77
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $12.61 / $35.67	Professional		$8.23	$12.61	$35.67