Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.09 / $6.09 / $204.00	Facility		$6.09	$6.09	$204.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.09 / $6.09	Professional		$4.54	$6.09	$6.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $10.58 / $125.00	Professional		$8.97	$10.58	$125.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.75 / $168.68 / $237.65	Facility		$129.75	$168.68	$237.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $117.25 / $140.26	Professional		$84.34	$117.25	$140.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $70.00	Facility		$9.27	$9.27	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.27	Professional		$6.77	$6.77	$9.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.27 / $9.27	Professional		$6.77	$9.27	$9.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.11 / $105.72 / $124.94	Professional		$96.11	$105.72	$124.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $5.56 / $9.19	Professional		$3.68	$5.56	$9.19