Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.10 / $7.10 / $56.00	Facility		$7.10	$7.10	$56.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.10 / $10.92	Professional		$6.73	$7.10	$10.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.80 / $9.42	Professional		$5.00	$5.80	$9.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $12.73 / $15.76	Facility		$10.64	$12.73	$15.76
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 $9.90 / $9.90 / $9.90	Professional		$9.90	$9.90	$9.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $1,833.91	Facility		$30.00	$30.00	$1,833.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Professional		$9.90	$9.90	$9.90
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 $4.76 / $7.13 / $10.92	Professional		$4.76	$7.13	$10.92