Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $32.64 / $50.08	Facility		$15.04	$32.64	$50.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.19 / $39.46	Professional		$15.04	$15.19	$39.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $26.27 / $43.16	Facility		$16.23	$26.27	$43.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $26.04	Professional		$15.04	$15.04	$26.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $25.57	Facility		$15.04	$15.04	$25.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $20.30	Professional		$15.04	$15.04	$20.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $14.19 / $15.04	Facility		$14.19	$14.19	$15.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $24.07	Professional		$15.04	$15.04	$24.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $14.19 / $15.04	Facility		$14.19	$14.19	$15.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $24.07	Professional		$15.04	$15.04	$24.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $18.80 / $21.79	Professional		$16.53	$18.80	$21.79
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $19.57	Professional		$15.04	$15.04	$19.57