Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $16.23 / $27.00	Facility		$9.00	$16.23	$27.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $12.22	Professional		$9.00	$9.00	$12.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $12.38 / $19.91	Facility		$9.93	$12.38	$19.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $11.25	Professional		$4.50	$4.50	$11.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $11.25 / $15.19	Facility		$6.03	$11.25	$15.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $14.63 / $15.19	Professional		$9.56	$14.63	$15.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $11.57 / $38.38	Facility		$6.15	$11.57	$38.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.80 / $16.52	Professional		$3.47	$5.80	$16.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $11.58 / $43.17	Facility		$5.53	$11.58	$43.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.15 / $7.38	Professional		$3.47	$5.15	$7.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.12 / $13.92	Professional		$8.44	$10.12	$13.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $5.63 / $18.14	Professional		$3.23	$5.63	$18.14