Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $2.73	Facility		$1.58	$1.58	$2.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.58 / $2.42	Professional		$1.50	$1.58	$2.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $1.09 / $3.64	Professional		$0.02	$1.09	$3.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $2.83 / $3.50	Facility		$2.23	$2.83	$3.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $141.75	Professional		$2.61	$2.61	$141.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Professional		$34.00	$34.00	$34.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $3.87	Facility		$3.87	$3.87	$3.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Professional		$34.00	$34.00	$34.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $165.00	Professional		$110.00	$110.00	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.58 / $2.43	Professional		$1.06	$1.58	$2.43