Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $122.00	Facility		$25.00	$25.00	$122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $23.80 / $39.34	Professional		$23.80	$23.80	$39.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $34.78 / $42.34	Facility		$21.60	$34.78	$42.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $27.22 / $31.75	Professional		$19.66	$27.22	$31.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $70.00	Facility		$32.74	$32.74	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $32.74	Professional		$23.90	$23.90	$32.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $32.74 / $32.74	Professional		$23.90	$32.74	$32.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.64 / $50.00 / $50.00	Professional		$24.64	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $88.94 / $88.94	Professional		$88.94	$88.94	$88.94