Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $15.55 / $25.01	Facility		$6.01	$15.55	$25.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.01 / $16.71	Professional		$6.01	$6.01	$16.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.60 / $12.47	Professional		$7.40	$7.60	$12.47
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 $6.38 / $6.38 / $6.38	Facility		$6.38	$6.38	$6.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $10.03	Professional		$6.38	$6.38	$10.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Facility		$6.38	$6.38	$6.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $10.03	Professional		$6.38	$6.38	$10.03
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 $7.51 / $7.51 / $8.11	Professional		$7.51	$7.51	$8.11