Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $16.02 / $36.00	Facility		$16.02	$16.02	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $16.45 / $22.70	Professional		$12.54	$16.45	$22.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $32.21 / $51.14	Facility		$27.14	$32.21	$51.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $15.14 / $37.27	Professional		$14.40	$15.14	$37.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $31.31 / $41.75	Facility		$22.37	$31.31	$41.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $31.31 / $63.85	Professional		$19.38	$31.31	$63.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $44.24	Facility		$18.96	$18.96	$44.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $28.38	Professional		$16.12	$16.12	$28.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $44.24	Facility		$18.96	$18.96	$44.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $18.96	Professional		$16.12	$16.12	$18.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $14.15 / $19.80	Professional		$8.77	$14.15	$19.80