Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $10.13 / $41.00	Facility		$10.13	$10.13	$41.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $10.13 / $11.56	Professional		$8.83	$10.13	$11.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $20.74 / $53.72	Facility		$17.70	$20.74	$53.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $10.74 / $26.24	Professional		$9.00	$10.74	$26.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $18.85 / $25.73	Facility		$14.14	$18.85	$25.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $18.85 / $40.36	Professional		$13.20	$18.85	$40.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $12.18 / $25.13	Facility		$12.18	$12.18	$25.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $8.89 / $15.56	Professional		$8.89	$8.89	$15.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $12.18 / $12.18	Facility		$12.18	$12.18	$12.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $12.18 / $12.18	Professional		$8.89	$12.18	$12.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $13.86 / $18.17	Professional		$10.08	$13.86	$18.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $9.15 / $13.66	Professional		$6.27	$9.15	$13.66