Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $108.00	Facility		$15.80	$15.80	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $17.68 / $46.98	Professional		$15.80	$17.68	$46.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $102.59 / $165.09	Professional		$72.06	$102.59	$165.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $140.33 / $350.79	Facility		$13.59	$140.33	$350.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $127.54 / $318.86	Professional		$14.17	$127.54	$318.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Facility		$20.88	$20.88	$20.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $13.12 / $91.14	Professional		$9.88	$13.12	$91.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Facility		$20.88	$20.88	$20.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.35 / $91.14	Professional		$9.88	$12.35	$91.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $40.78 / $72.67	Professional		$25.24	$40.78	$72.67