Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $61.00	Facility		$25.00	$25.00	$61.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $25.00 / $33.74	Professional		$19.23	$25.00	$33.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $51.19	Professional		$19.73	$19.73	$51.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $39.38 / $53.16	Facility		$29.54	$39.38	$53.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $39.38 / $84.32	Professional		$25.60	$39.38	$84.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $26.72	Facility		$26.07	$26.07	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $22.16	Professional		$16.07	$22.16	$22.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $26.07 / $26.07	Facility		$22.76	$26.07	$26.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $22.16 / $26.07	Professional		$16.07	$22.16	$26.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $28.10 / $36.84	Professional		$20.44	$28.10	$36.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $18.50 / $25.74	Professional		$12.80	$18.50	$25.74