Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $12.13 / $17.93	Facility		$4.69	$12.13	$17.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $13.04	Professional		$4.69	$4.69	$13.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.92 / $7.90	Professional		$4.69	$4.92	$7.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $7.84	Professional		$4.68	$4.68	$7.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $7.84	Professional		$4.68	$4.68	$7.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $7.63	Professional		$5.86	$5.86	$7.63