Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $16.55 / $20.52	Professional		$13.47	$16.55	$20.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $16.82 / $26.02	Professional		$12.69	$16.82	$26.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $19.30 / $23.91	Facility		$16.09	$19.30	$23.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $20.11 / $22.53	Professional		$12.52	$20.11	$22.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $19.55	Facility		$19.55	$19.55	$19.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $20.91 / $32.27	Professional		$15.32	$20.91	$32.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $19.55	Facility		$19.55	$19.55	$19.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.31 / $32.04	Professional		$15.38	$21.31	$32.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $9.71 / $100.00	Professional		$8.26	$9.71	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $17.05 / $29.63	Professional		$12.99	$17.05	$29.63