Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $57.54 / $70.79	Facility		$21.88	$57.54	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $25.70	Professional		$21.88	$22.91	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.68 / $7.41	Professional		$3.89	$4.68	$7.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $117.49	Facility		$100.00	$100.00	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.49 / $19.95	Professional		$10.47	$15.49	$19.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47