Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $17.39 / $22.65	Professional		$15.43	$17.39	$22.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.10 / $31.50	Professional		$16.22	$20.10	$31.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $19.69 / $24.37	Facility		$16.41	$19.69	$24.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $20.51 / $22.97	Professional		$18.05	$20.51	$22.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $22.97 / $35.00	Professional		$16.48	$22.97	$35.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Facility		$19.97	$19.97	$19.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $23.61 / $34.46	Professional		$17.14	$23.61	$34.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $15.40 / $100.00	Professional		$13.09	$15.40	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $19.80 / $34.58	Professional		$14.73	$19.80	$34.58