Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $39.08 / $8,456.60	Facility		$18.01	$39.08	$8,456.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.73 / $4,200.00	Professional		$18.01	$18.73	$4,200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $31.45 / $51.69	Facility		$19.45	$31.45	$51.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $31.18	Professional		$18.01	$18.01	$31.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.01 / $30.62	Facility		$18.01	$18.01	$30.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $24.31	Professional		$18.01	$18.01	$24.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $18.01	Facility		$16.98	$16.98	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $30.87	Professional		$18.01	$18.01	$30.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.01 / $18.01	Facility		$16.98	$18.01	$18.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $30.87	Professional		$18.01	$18.01	$30.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.81 / $22.87 / $26.11	Professional		$19.81	$22.87	$26.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $18.01 / $23.45	Professional		$17.98	$18.01	$23.45