Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.87 / $49.63	Facility		$16.22	$28.87	$49.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $16.22 / $28.72	Professional		$14.75	$16.22	$28.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $37.95 / $105.43	Facility		$24.33	$37.95	$105.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $32.36	Professional		$16.22	$16.22	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $16.22 / $24.49	Facility		$13.46	$16.22	$24.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $16.22 / $17.03	Professional		$11.35	$16.22	$17.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $16.22 / $49.11	Facility		$15.30	$16.22	$49.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $85.98	Professional		$16.22	$16.22	$85.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $49.11 / $49.11	Facility		$16.22	$49.11	$49.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $85.98	Professional		$16.22	$16.22	$85.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $17.84 / $21.46	Professional		$14.80	$17.84	$21.46
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $22.79	Professional		$6.49	$16.22	$22.79