Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $27.60 / $7,406.58	Facility		$12.32	$27.60	$7,406.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.43 / $17.54	Professional		$12.32	$12.43	$17.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $21.52 / $35.36	Facility		$13.31	$21.52	$35.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $21.33	Professional		$12.32	$12.32	$21.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $20.94	Facility		$12.32	$12.32	$20.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $16.63	Professional		$12.32	$12.32	$16.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $11.62 / $12.32	Facility		$11.62	$11.62	$12.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $19.05	Professional		$12.32	$12.32	$19.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $18.21 / $32.43	Facility		$18.21	$18.21	$32.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $19.05	Professional		$12.32	$12.32	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $15.43 / $17.86	Professional		$13.55	$15.43	$17.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $13.33	Professional		$12.32	$12.32	$13.33