Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $15.75 / $15.75	Facility		$15.75	$15.75	$15.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $15.75 / $15.75	Professional		$15.75	$15.75	$15.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $17.02 / $24.20	Facility		$16.13	$17.02	$24.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $8.78 / $25.68	Professional		$7.25	$8.78	$25.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $11.00	Facility		$6.00	$6.00	$11.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $12.37 / $12.37	Professional		$12.37	$12.37	$12.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $11.00	Facility		$6.00	$6.00	$11.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $12.37 / $12.37	Professional		$12.37	$12.37	$12.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $6.56	Professional		$3.75	$3.75	$6.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $7.69 / $12.00	Professional		$6.75	$7.69	$12.00