Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $293.00 / $293.00	Facility		$9.40	$293.00	$293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $98.90 / $117.40	Professional		$10.34	$98.90	$117.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $7.23 / $14.41	Professional		$0.34	$7.23	$14.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $156.09 / $319.27	Facility		$10.45	$156.09	$319.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $162.83 / $287.36	Professional		$10.86	$162.83	$287.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $11.53	Facility		$11.53	$11.53	$11.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $280.02 / $280.02	Professional		$15.77	$280.02	$280.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $11.53	Facility		$11.53	$11.53	$11.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $280.02	Professional		$15.77	$15.77	$280.02
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 $78.06 / $126.01 / $216.58	Professional		$78.06	$126.01	$216.58