Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $25.40 / $36.88	Facility		$9.58	$25.40	$36.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $12.22	Professional		$9.58	$9.58	$12.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $13.18 / $21.20	Facility		$10.58	$13.18	$21.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $8.61 / $14.53	Professional		$5.92	$8.61	$14.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $11.98 / $16.17	Facility		$10.18	$11.98	$16.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $15.57 / $28.75	Professional		$10.18	$15.57	$28.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $12.34 / $45.47	Facility		$7.79	$12.34	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $15.47	Professional		$6.30	$6.30	$15.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $12.34 / $45.88	Facility		$7.79	$12.34	$45.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $16.09	Professional		$6.30	$6.30	$16.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.19 / $16.88	Professional		$5.03	$7.19	$16.88