Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $8.24 / $98.00	Facility		$2.73	$8.24	$98.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $14.00 / $17.27	Professional		$2.73	$14.00	$17.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $5.33 / $10.71	Professional		$3.83	$5.33	$10.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $8.57 / $8.57	Facility		$3.93	$8.57	$8.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $8.57 / $8.57	Professional		$4.76	$8.57	$8.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Facility		$5.22	$5.22	$5.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $10.00 / $18.76	Professional		$4.71	$10.00	$18.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Facility		$5.22	$5.22	$5.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $8.99 / $17.36	Professional		$4.49	$8.99	$17.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $17.22 / $17.22	Professional		$17.22	$17.22	$17.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.90 / $11.66	Professional		$4.01	$5.90	$11.66