Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $13.88 / $32.00	Facility		$11.10	$13.88	$32.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $12.95 / $15.84	Professional		$11.10	$12.95	$15.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $16.00	Facility		$15.00	$15.00	$16.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.09 / $9.19	Professional		$4.25	$5.09	$9.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $19.13 / $26.09	Facility		$17.00	$19.13	$26.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $23.48 / $40.31	Professional		$17.39	$23.48	$40.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Facility		$21.25	$21.25	$21.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $26.31 / $114.34	Professional		$14.00	$26.31	$114.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Facility		$21.25	$21.25	$21.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $20.14 / $31.06	Professional		$13.41	$20.14	$31.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $15.20 / $15.20	Professional		$15.20	$15.20	$15.20