Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.09 / $6.09 / $24.00	Facility		$6.09	$6.09	$24.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.09 / $7.60	Professional		$4.47	$6.09	$7.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.95 / $12.46	Professional		$4.13	$4.95	$12.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $11.51 / $14.24	Facility		$9.59	$11.51	$14.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $12.47 / $20.53	Professional		$10.55	$12.47	$20.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Professional		$4.88	$4.88	$4.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $11.24 / $11.24	Facility		$11.24	$11.24	$11.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Professional		$4.88	$4.88	$4.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.18 / $2.53	Professional		$1.75	$2.18	$2.53
United Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $4.78 / $6.95	Professional		$3.19	$4.78	$6.95