Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $7.89 / $7.89	Facility		$7.89	$7.89	$7.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $5.95 / $8.16	Professional		$4.70	$5.95	$8.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $32.47 / $50.00	Professional		$26.04	$32.47	$50.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.10 / $9.19 / $11.37	Facility		$7.10	$9.19	$11.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $9.58 / $42.53	Professional		$8.46	$9.58	$42.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Facility		$12.21	$12.21	$12.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Facility		$12.21	$12.21	$12.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $49.50 / $65.50	Professional		$33.00	$49.50	$65.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $5.15 / $7.93	Professional		$3.44	$5.15	$7.93