Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $22.68 / $42.00	Facility		$3.93	$22.68	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $13.44 / $16.80	Professional		$13.44	$13.44	$16.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $18.48 / $29.73	Facility		$14.83	$18.48	$29.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $16.55	Professional		$8.30	$8.30	$16.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $16.80 / $22.68	Facility		$11.33	$16.80	$22.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $21.84 / $22.68	Professional		$14.28	$21.84	$22.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $17.30 / $63.74	Facility		$10.92	$17.30	$63.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.69 / $24.26	Professional		$7.94	$11.69	$24.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $17.30 / $64.77	Facility		$9.19	$17.30	$64.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $8.85 / $16.75	Professional		$7.88	$8.85	$16.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $15.12 / $20.79	Professional		$12.60	$15.12	$20.79
United Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.05 / $15.12	Facility		$6.05	$6.05	$15.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $8.40 / $20.16	Professional		$1.08	$8.40	$20.16