Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $17.66 / $23.92	Professional		$16.57	$17.66	$23.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $41.33 / $66.12	Facility		$29.99	$41.33	$66.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $25.07 / $48.21	Professional		$21.72	$25.07	$48.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $24.10 / $35.70	Facility		$3.08	$24.10	$35.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $22.39 / $44.11	Professional		$2.72	$22.39	$44.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $36.52	Facility		$20.72	$20.72	$36.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $20.72 / $36.75	Professional		$17.61	$20.72	$36.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $27.20	Facility		$20.72	$20.72	$27.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $27.20	Professional		$20.72	$20.72	$27.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $25.52 / $36.80	Professional		$20.41	$25.52	$36.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $16.57 / $22.78	Professional		$10.49	$16.57	$22.78