Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $14.92 / $437.10	Facility		$5.20	$14.92	$437.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $5.20 / $13.02	Professional		$4.72	$5.20	$13.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $19.70 / $31.05	Professional		$5.75	$19.70	$31.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $5.05 / $6.82	Facility		$3.29	$5.05	$6.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $26.09 / $181.10	Professional		$17.50	$26.09	$181.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $41.86 / $230.58	Facility		$41.86	$41.86	$230.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $24.70 / $181.10	Professional		$22.00	$24.70	$181.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $7.65 / $18.18	Professional		$4.29	$7.65	$18.18