Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $18.48 / $18.48	Facility		$18.48	$18.48	$18.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $18.48 / $32.38	Professional		$17.66	$18.48	$32.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $43.26 / $69.22	Facility		$31.39	$43.26	$69.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $25.68 / $57.01	Professional		$25.63	$25.68	$57.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $24.58 / $36.36	Facility		$2.87	$24.58	$36.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $23.21 / $42.79	Professional		$2.76	$23.21	$42.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $39.26	Facility		$22.28	$22.28	$39.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $22.28 / $39.75	Professional		$18.94	$22.28	$39.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $29.25	Facility		$22.28	$22.28	$29.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $29.25	Professional		$22.28	$22.28	$29.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $27.17 / $37.73	Professional		$18.11	$27.17	$37.73
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.48 / $26.94	Professional		$11.48	$17.48	$26.94