Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $43.60 / $101.00	Facility		$12.75	$43.60	$101.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.02 / $20.17	Professional		$12.75	$15.02	$20.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $23.03 / $35.02	Professional		$15.22	$23.03	$35.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $22.31 / $28.39	Facility		$20.07	$22.31	$28.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $25.65 / $32.13	Professional		$20.28	$25.65	$32.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Facility		$23.81	$23.81	$23.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $26.30 / $47.73	Professional		$16.76	$26.30	$47.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Facility		$23.81	$23.81	$23.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $27.34 / $41.45	Professional		$18.43	$27.34	$41.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $23.16 / $23.16	Professional		$19.69	$23.16	$23.16
United Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $20.73 / $31.54	Professional		$16.71	$20.73	$31.54