Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $18.92 / $57.00	Facility		$18.92	$18.92	$57.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $18.92 / $21.87	Professional		$16.57	$18.92	$21.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.08 / $38.75 / $100.41	Facility		$33.08	$38.75	$100.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $19.17 / $45.79	Professional		$17.19	$19.17	$45.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $35.22 / $47.56	Facility		$26.42	$35.22	$47.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $31.92 / $75.43	Professional		$23.06	$31.92	$75.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $41.57	Facility		$23.58	$23.58	$41.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $29.29	Professional		$17.21	$17.21	$29.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $23.58	Facility		$23.58	$23.58	$23.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $23.58 / $23.58	Professional		$17.21	$23.58	$23.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $18.31 / $24.01	Professional		$13.32	$18.31	$24.01
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.57 / $28.18	Facility		$10.00	$15.57	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $16.80 / $23.66	Professional		$11.72	$16.80	$23.66