Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.33 / $28.00	Facility		$3.33	$3.33	$28.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $3.54	Professional		$3.33	$3.33	$3.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $28.39 / $45.54	Professional		$23.46	$28.39	$45.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $32.15 / $39.79	Facility		$26.79	$32.15	$39.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $34.83 / $57.36	Professional		$29.47	$34.83	$57.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $6.78	Professional		$6.78	$6.78	$6.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $6.78	Professional		$6.78	$6.78	$6.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $14.08 / $18.77	Professional		$9.38	$14.08	$18.77