Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $26.63 / $46.20	Facility		$12.00	$26.63	$46.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $12.00 / $15.00	Professional		$10.70	$12.00	$15.00
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 $6.00 / $6.00 / $15.90	Professional		$6.00	$6.00	$15.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $15.00 / $20.25	Facility		$11.18	$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 / $9.75 / $21.17	Professional		$6.93	$9.75	$21.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $15.44 / $58.03	Facility		$7.84	$15.44	$58.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $7.89 / $16.09	Professional		$6.93	$7.89	$16.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.50 / $18.56	Professional		$11.25	$13.50	$18.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $9.00 / $19.64	Professional		$6.30	$9.00	$19.64