Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $23.33 / $213.30	Facility		$9.22	$23.33	$213.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $9.22 / $10.95	Professional		$6.00	$9.22	$10.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $12.45	Professional		$6.91	$6.91	$12.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $14.99 / $269.81	Facility		$9.80	$14.99	$269.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $25.46 / $322.27	Professional		$12.17	$25.46	$322.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $11.86 / $65.76	Facility		$7.49	$11.86	$65.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $13.22 / $16.52	Professional		$7.49	$13.22	$16.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $11.86 / $65.76	Facility		$7.49	$11.86	$65.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $7.49 / $7.49	Professional		$7.49	$7.49	$7.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.92 / $15.10	Professional		$4.84	$6.92	$15.10