Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $40.00	Facility		$10.93	$10.93	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $10.93 / $13.66	Professional		$8.02	$10.93	$13.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.91 / $22.73	Professional		$7.63	$9.91	$22.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.22 / $20.66 / $25.57	Facility		$17.22	$20.66	$25.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $22.39 / $36.86	Professional		$18.94	$22.39	$36.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $8.78	Professional		$8.78	$8.78	$8.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.18 / $20.18 / $20.18	Facility		$20.18	$20.18	$20.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $8.78	Professional		$8.78	$8.78	$8.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.93 / $12.68	Professional		$8.75	$10.93	$12.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $8.08 / $10.93	Professional		$5.73	$8.08	$10.93