Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $15.90 / $49.00	Facility		$15.90	$15.90	$49.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $15.90 / $21.09	Professional		$12.96	$15.90	$21.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $16.02 / $34.40	Professional		$13.12	$16.02	$34.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $31.49 / $37.79	Facility		$25.19	$31.49	$37.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $32.75 / $53.94	Professional		$27.71	$32.75	$53.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $29.35	Facility		$29.35	$29.35	$29.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $25.68 / $29.79	Professional		$20.55	$25.68	$29.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $13.22 / $19.02	Professional		$8.81	$13.22	$19.02