Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $18.98 / $1,744.00	Facility		$8.75	$18.98	$1,744.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $9.26 / $213.53	Professional		$8.75	$9.26	$213.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $14.09 / $21.88	Facility		$9.44	$14.09	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $15.15	Professional		$8.75	$8.75	$15.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $8.75 / $14.88	Facility		$8.75	$8.75	$14.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $11.81	Professional		$8.75	$8.75	$11.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $8.26 / $8.75	Facility		$8.26	$8.26	$8.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $13.78	Professional		$8.75	$8.75	$13.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $16.79 / $24.27	Facility		$13.58	$16.79	$24.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $13.78	Professional		$8.75	$8.75	$13.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $11.46 / $13.10	Professional		$9.94	$11.46	$13.10
United Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $12.17	Professional		$8.75	$8.75	$12.17