Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $36.43 / $56.57	Facility		$8.10	$36.43	$56.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $22.07 / $43.47	Professional		$18.98	$22.07	$43.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $38.54 / $63.34	Facility		$23.84	$38.54	$63.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $20.86 / $36.08	Professional		$19.87	$20.86	$36.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $22.07 / $38.61	Facility		$21.86	$22.07	$38.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $22.07 / $29.79	Professional		$21.86	$22.07	$29.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $21.82 / $21.82	Facility		$21.82	$21.82	$21.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $28.40	Professional		$21.82	$21.82	$28.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $28.38 / $40.09	Facility		$18.79	$28.38	$40.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $28.40	Professional		$21.82	$21.82	$28.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $43.72 / $46.34	Professional		$30.60	$43.72	$46.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $22.28 / $25.83	Professional		$18.73	$22.28	$25.83