Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $33.27 / $70.03	Facility		$15.33	$33.27	$70.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $17.27 / $45.25	Professional		$15.33	$17.27	$45.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $35.86 / $99.65	Facility		$23.00	$35.86	$99.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $29.12	Professional		$15.33	$15.33	$29.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $15.33 / $26.06	Facility		$15.33	$15.33	$26.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $20.70	Professional		$15.33	$15.33	$20.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $15.32	Facility		$14.46	$14.46	$15.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $40.11	Professional		$15.32	$15.32	$40.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.27 / $55.27 / $236.46	Facility		$55.27	$55.27	$236.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $40.11	Professional		$15.32	$15.32	$40.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $21.46 / $24.31	Professional		$18.44	$21.46	$24.31
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $20.07	Professional		$15.33	$15.33	$20.07