Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $26.04 / $212.05	Facility		$9.60	$26.04	$212.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.96 / $28.36	Professional		$9.60	$9.96	$28.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $41.37 / $68.95	Facility		$21.50	$41.37	$68.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.58 / $40.26	Professional		$19.95	$27.58	$40.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $18.55 / $30.62	Facility		$18.55	$18.55	$30.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $18.55 / $18.55	Professional		$18.55	$18.55	$18.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $17.73	Professional		$10.19	$10.19	$17.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.82 / $8.82 / $31.00	Facility		$8.82	$8.82	$31.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $17.73	Professional		$10.19	$10.19	$17.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $34.47 / $39.99	Professional		$30.33	$34.47	$39.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $13.10	Professional		$10.00	$10.00	$13.10