Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $17.82 / $34.88	Facility		$9.75	$17.82	$34.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $16.92 / $25.70	Professional		$9.75	$16.92	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $18.89 / $29.99	Professional		$12.03	$18.89	$29.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $11.66 / $17.55	Facility		$8.77	$11.66	$17.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $28.25 / $28.25	Professional		$24.97	$28.25	$28.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $16.57	Facility		$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $22.07 / $37.46	Professional		$12.28	$22.07	$37.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $16.57	Facility		$16.57	$16.57	$16.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $22.55 / $36.11	Professional		$12.66	$22.55	$36.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $25.62 / $42.43	Professional		$17.88	$25.62	$42.43