Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $15.46 / $144.00	Facility		$15.46	$15.46	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.46 / $21.29	Professional		$15.07	$15.46	$21.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.73 / $34.83 / $90.23	Facility		$29.73	$34.83	$90.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $17.76 / $41.15	Professional		$15.86	$17.76	$41.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $31.66 / $42.74	Facility		$23.75	$31.66	$42.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $28.64 / $67.79	Professional		$20.68	$28.64	$67.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $37.28	Facility		$25.14	$25.14	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $25.14	Professional		$21.37	$21.37	$25.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $25.14	Facility		$25.14	$25.14	$25.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $25.14 / $25.14	Professional		$21.37	$25.14	$25.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $22.13 / $29.01	Professional		$16.09	$22.13	$29.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $15.80 / $21.75	Professional		$10.53	$15.80	$21.75