Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $40.93 / $57.00	Facility		$18.86	$40.93	$57.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $18.86 / $50.35	Professional		$18.29	$18.86	$50.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $32.94 / $54.13	Facility		$20.37	$32.94	$54.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $32.65	Professional		$18.86	$18.86	$32.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $32.06	Facility		$18.86	$18.86	$32.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $25.46	Professional		$18.86	$18.86	$25.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $17.79 / $18.86	Facility		$17.79	$17.79	$18.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $27.97	Professional		$18.86	$18.86	$27.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $18.13 / $51.39	Facility		$18.13	$18.13	$51.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $27.97	Professional		$18.86	$18.86	$27.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $23.57 / $26.40	Professional		$19.94	$23.57	$26.40
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $24.56	Professional		$18.86	$18.86	$24.56