Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $58.36 / $87.09	Facility		$28.28	$58.36	$87.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $29.67 / $42.40	Professional		$14.98	$29.67	$42.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $31.10 / $50.03	Facility		$24.96	$31.10	$50.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $20.30 / $34.36	Professional		$13.96	$20.30	$34.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.03 / $29.68 / $38.15	Facility		$24.03	$29.68	$38.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $36.75 / $67.84	Professional		$24.03	$36.75	$67.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $29.11 / $107.21	Facility		$18.38	$29.11	$107.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $36.56	Professional		$14.86	$14.86	$36.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $29.11 / $109.29	Facility		$18.38	$29.11	$109.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $18.38	Professional		$14.86	$14.86	$18.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.55 / $15.55	Professional		$15.55	$15.55	$15.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.96 / $37.03	Professional		$11.87	$16.96	$37.03