Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $44.98 / $102.00	Facility		$13.35	$44.98	$102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $15.93 / $20.43	Professional		$13.42	$15.93	$20.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $24.09 / $37.27	Professional		$15.92	$24.09	$37.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $23.02 / $29.30	Facility		$20.72	$23.02	$29.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $26.84 / $33.61	Professional		$21.22	$26.84	$33.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.26 / $36.26	Facility		$36.26	$36.26	$36.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $26.10 / $52.05	Professional		$18.50	$26.10	$52.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.26 / $36.26	Facility		$36.26	$36.26	$36.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $27.12 / $43.34	Professional		$19.04	$27.12	$43.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $34.87 / $49.90	Professional		$24.22	$34.87	$49.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $21.22 / $31.65	Professional		$17.59	$21.22	$31.65