Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $13.23 / $13.23	Facility		$13.23	$13.23	$13.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $13.23 / $20.16	Professional		$11.02	$13.23	$20.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $30.80 / $49.28	Facility		$22.35	$30.80	$49.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $17.29 / $33.25	Professional		$14.99	$17.29	$33.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $16.28 / $24.64	Facility		$2.06	$16.28	$24.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $16.02 / $25.87	Professional		$1.87	$16.02	$25.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $13.93 / $28.87	Facility		$13.93	$13.93	$28.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $13.93 / $24.64	Professional		$11.84	$13.93	$24.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $13.93 / $13.93	Facility		$13.93	$13.93	$13.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $13.93 / $13.93	Professional		$13.93	$13.93	$13.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $17.60 / $25.38	Professional		$14.08	$17.60	$25.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $11.32 / $15.64	Professional		$8.05	$11.32	$15.64