Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $152.90 / $551.64	Facility		$25.12	$152.90	$551.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.17 / $49.64	Professional		$14.73	$15.17	$49.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $34.47 / $95.75	Facility		$22.10	$34.47	$95.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.90 / $28.25	Professional		$14.73	$15.90	$28.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $25.04	Facility		$14.73	$14.73	$25.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $19.89	Professional		$14.73	$14.73	$19.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $13.90 / $14.73	Facility		$13.90	$13.90	$14.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $20.84	Professional		$14.73	$14.73	$20.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $28.61 / $86.04	Facility		$12.99	$28.61	$86.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $22.78	Professional		$14.73	$14.73	$22.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $18.37 / $21.32	Professional		$16.17	$18.37	$21.32
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $19.30	Professional		$14.73	$14.73	$19.30