Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $11.06 / $38.00	Facility		$11.06	$11.06	$38.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.06 / $13.40	Professional		$10.19	$11.06	$13.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $22.64 / $58.65	Facility		$19.32	$22.64	$58.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.52 / $26.75	Professional		$10.00	$11.52	$26.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $20.58 / $28.81	Facility		$15.44	$20.58	$28.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $20.58 / $44.07	Professional		$13.38	$20.58	$44.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $25.00	Facility		$13.34	$13.34	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $17.04	Professional		$9.74	$9.74	$17.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $13.34	Facility		$13.34	$13.34	$13.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $13.34 / $13.34	Professional		$9.74	$13.34	$13.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.02 / $15.76	Professional		$8.74	$12.02	$15.76
United Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $10.18 / $14.77	Professional		$6.85	$10.18	$14.77