Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $93.00	Facility		$5.12	$5.12	$93.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.12 / $7.89	Professional		$4.76	$5.12	$7.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $8.11 / $12.90	Professional		$7.00	$8.11	$12.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $9.19 / $11.37	Facility		$7.68	$9.19	$11.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $18.04	Professional		$18.04	$18.04	$18.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $5.15 / $7.93	Professional		$3.44	$5.15	$7.93