Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $1.97 / $41.00	Facility		$1.97	$1.97	$41.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.97 / $3.03	Professional		$1.87	$1.97	$3.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.16 / $28.73	Professional		$14.45	$17.16	$28.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $29.70 / $55.15	Facility		$2.96	$29.70	$55.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $38.61 / $38.61	Professional		$31.19	$38.61	$38.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $2.12	Professional		$2.12	$2.12	$2.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Facility		$7.00	$7.00	$7.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $2.12	Professional		$2.12	$2.12	$2.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $44.00 / $60.00	Professional		$24.20	$44.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.98 / $3.03	Professional		$1.32	$1.98	$3.03