Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $20.58 / $93.00	Facility		$20.58	$20.58	$93.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $20.58 / $23.55	Professional		$17.98	$20.58	$23.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $42.14 / $109.18	Facility		$35.97	$42.14	$109.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $20.73 / $53.25	Professional		$18.68	$20.73	$53.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $38.31 / $51.72	Facility		$28.73	$38.31	$51.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $34.65 / $82.03	Professional		$25.03	$34.65	$82.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $45.13	Facility		$21.38	$21.38	$45.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $25.35	Professional		$15.61	$15.61	$25.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $21.38 / $21.38	Professional		$15.61	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $18.52 / $25.72	Professional		$12.74	$18.52	$25.72