Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $20.79 / $71.27	Facility		$7.66	$20.79	$71.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $7.66 / $21.29	Professional		$7.66	$7.66	$21.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $18.67 / $51.87	Facility		$11.97	$18.67	$51.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $1.18 / $10.35	Professional		$0.99	$1.18	$10.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $8.14 / $59,702.01	Facility		$8.14	$8.14	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Facility		$8.14	$8.14	$8.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $12.41	Professional		$8.14	$8.14	$12.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $8.14 / $77.29	Facility		$6.72	$8.14	$77.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $12.41	Professional		$8.14	$8.14	$12.41
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 $7.98 / $7.98 / $8.55	Professional		$7.98	$7.98	$8.55