Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $9.44 / $122.00	Facility		$3.13	$9.44	$122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $19.00 / $22.21	Professional		$3.13	$19.00	$22.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $5.28 / $20.35	Professional		$3.79	$5.28	$20.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Facility		$9.86	$9.86	$9.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $5.97	Facility		$5.97	$5.97	$5.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $12.00 / $15.00	Professional		$5.39	$12.00	$15.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $5.97	Facility		$5.97	$5.97	$5.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $12.00 / $15.00	Professional		$5.14	$12.00	$15.00
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 $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $6.74 / $12.53	Professional		$4.65	$6.74	$12.53