Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $29.30 / $46.20	Facility		$12.00	$29.30	$46.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $21.65	Professional		$12.00	$12.00	$21.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $16.50 / $26.55	Facility		$13.25	$16.50	$26.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $16.20	Professional		$6.51	$6.51	$16.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $15.00 / $20.25	Facility		$11.54	$15.00	$20.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $19.50 / $20.25	Professional		$12.75	$19.50	$20.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $15.44 / $51.19	Facility		$9.75	$15.44	$51.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $10.58 / $21.17	Professional		$6.93	$10.58	$21.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $15.44 / $58.03	Facility		$8.63	$15.44	$58.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $8.68 / $17.70	Professional		$6.93	$8.68	$17.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $12.37 / $18.00	Professional		$8.25	$12.37	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $9.00 / $24.20	Professional		$6.30	$9.00	$24.20