Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $17.00 / $37.00	Facility		$17.00	$17.00	$37.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $17.00 / $21.26	Professional		$12.50	$17.00	$21.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $15.45 / $35.36	Professional		$11.90	$15.45	$35.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $32.15 / $39.79	Facility		$26.79	$32.15	$39.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $34.83 / $57.36	Professional		$29.47	$34.83	$57.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $12.04	Professional		$10.93	$12.04	$12.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $31.39	Facility		$31.39	$31.39	$31.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.04 / $12.04	Professional		$10.93	$12.04	$12.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.25 / $3.77	Professional		$2.60	$3.25	$3.77
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.04 / $17.00	Professional		$8.91	$13.04	$17.00