Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $11.85 / $11.85	Facility		$11.85	$11.85	$11.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $11.91 / $21.84	Professional		$11.85	$11.91	$21.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $27.74 / $44.38	Facility		$20.13	$27.74	$44.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.64 / $29.96	Professional		$17.55	$17.64	$29.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $16.64 / $25.00	Facility		$1.89	$16.64	$25.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $15.95 / $30.90	Professional		$1.87	$15.95	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $25.86	Facility		$14.57	$14.57	$25.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $14.57 / $25.88	Professional		$12.38	$14.57	$25.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $15.57	Facility		$14.57	$14.57	$15.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Professional		$14.57	$14.57	$14.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $18.67 / $25.93	Professional		$12.45	$18.67	$25.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $11.52 / $17.64	Professional		$7.50	$11.52	$17.64