Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $56.00	Facility		$13.34	$13.34	$56.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.34 / $18.64	Professional		$13.25	$13.34	$18.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $30.13 / $42.58	Professional		$25.98	$30.13	$42.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $37.18 / $63.58	Facility		$21.84	$37.18	$63.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $30.88 / $38.14	Professional		$23.61	$30.88	$38.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $32.88	Facility		$27.60	$27.60	$32.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $27.60	Professional		$20.14	$20.14	$27.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $27.60 / $27.60	Professional		$20.14	$27.60	$27.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $29.60 / $34.98	Professional		$26.91	$29.60	$34.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $15.86 / $27.21	Professional		$10.57	$15.86	$27.21