Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $17.82 / $41.00	Facility		$17.82	$17.82	$41.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $17.82 / $17.82	Professional		$14.05	$17.82	$17.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $41.11 / $65.38	Professional		$35.14	$41.11	$65.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $52,499.48 / $61,249.39	Facility		$20.25	$52,499.48	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.81 / $130.81 / $181.12	Professional		$130.81	$130.81	$181.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $64.00	Facility		$10.75	$10.75	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $10.75	Professional		$7.85	$7.85	$10.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.75 / $10.75	Professional		$7.85	$10.75	$10.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Professional		$50.90	$50.90	$50.90