Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $117.00	Facility		$32.00	$32.00	$117.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Professional		$32.00	$32.00	$32.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $7.46 / $12.06	Professional		$5.56	$7.46	$12.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $21.02 / $24.02	Facility		$17.63	$21.02	$24.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17