Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $25.19 / $58.00	Facility		$25.19	$25.19	$58.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $25.19 / $33.99	Professional		$18.39	$25.19	$33.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $52.13	Professional		$17.89	$17.89	$52.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $39.68 / $53.57	Facility		$29.76	$39.68	$53.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $39.68 / $84.96	Professional		$25.79	$39.68	$84.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $19.37 / $46.50	Facility		$5.33	$19.37	$46.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.46 / $19.37	Professional		$16.19	$16.46	$19.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $19.37	Facility		$19.37	$19.37	$19.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $19.37 / $19.37	Professional		$16.19	$19.37	$19.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.80 / $25.95	Professional		$14.40	$19.80	$25.95
United Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $18.63 / $25.35	Professional		$12.68	$18.63	$25.35