Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $16.02 / $16.02	Facility		$16.02	$16.02	$16.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $16.02 / $21.35	Professional		$15.09	$16.02	$21.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.21 / $37.50 / $60.00	Facility		$27.21	$37.50	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $23.02 / $49.82	Professional		$22.45	$23.02	$49.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $21.47 / $32.77	Facility		$2.73	$21.47	$32.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $20.27 / $37.39	Professional		$2.41	$20.27	$37.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $20.13 / $33.15	Facility		$20.13	$20.13	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $17.11 / $42.66	Professional		$17.11	$17.11	$42.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $20.13 / $20.13	Facility		$20.13	$20.13	$20.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $20.13 / $20.13	Professional		$17.11	$20.13	$20.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $26.38 / $38.04	Professional		$21.10	$26.38	$38.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $15.38 / $24.26	Professional		$9.98	$15.38	$24.26