Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $20.58 / $71.00	Facility		$20.58	$20.58	$71.00
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 / $49.80	Professional		$18.68	$20.73	$49.80
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 $25.64 / $25.64 / $45.13	Facility		$25.64	$25.64	$45.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $25.64	Professional		$18.72	$18.72	$25.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $25.64 / $25.64	Facility		$25.64	$25.64	$25.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $25.64 / $25.64	Professional		$18.72	$25.64	$25.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $21.26 / $27.87	Professional		$15.46	$21.26	$27.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $18.26 / $25.72	Professional		$12.74	$18.26	$25.72