Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $6.67 / $49.00	Facility		$6.67	$6.67	$49.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $7.01 / $12.92	Professional		$6.63	$7.01	$12.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $17.29 / $26.62	Professional		$15.58	$17.29	$26.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $52,499.48 / $61,249.39	Facility		$16.88	$52,499.48	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $30.38	Professional		$21.94	$21.94	$30.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $28.65 / $28.65	Facility		$16.36	$28.65	$28.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $20.91 / $28.65	Professional		$20.91	$20.91	$28.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $28.65 / $28.65	Facility		$28.65	$28.65	$28.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $28.65 / $28.65	Professional		$20.91	$28.65	$28.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.93 / $13.21	Professional		$5.28	$7.93	$13.21