Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Facility		$17.30	$17.30	$17.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $17.30 / $31.02	Professional		$16.92	$17.30	$31.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $40.49 / $64.78	Facility		$29.38	$40.49	$64.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $23.26 / $51.64	Professional		$23.13	$23.26	$51.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $23.21 / $32.95	Facility		$2.75	$23.21	$32.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $21.42 / $40.65	Professional		$2.48	$21.42	$40.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $37.74	Facility		$21.16	$21.16	$37.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $21.16 / $37.50	Professional		$17.98	$21.16	$37.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $22.73	Facility		$21.16	$21.16	$22.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $21.16 / $21.16	Professional		$21.16	$21.16	$21.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.40 / $24.60 / $34.17	Professional		$16.40	$24.60	$34.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $15.99 / $23.26	Professional		$10.66	$15.99	$23.26