Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $15.48 / $15.48	Facility		$15.48	$15.48	$15.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.66 / $16.10	Professional		$9.21	$11.66	$16.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $34.01 / $52.82	Professional		$4.25	$34.01	$52.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $18.04 / $22.32	Facility		$14.24	$18.04	$22.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $18.43 / $18.79	Professional		$16.61	$18.43	$18.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $21.57 / $21.57	Facility		$21.57	$21.57	$21.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $14.02	Professional		$13.49	$14.02	$14.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $21.57 / $21.57	Facility		$21.57	$21.57	$21.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $14.02	Professional		$13.49	$14.02	$14.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $21.45 / $28.38	Professional		$14.30	$21.45	$28.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $10.10 / $15.47	Professional		$6.74	$10.10	$15.47