Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $55.00 / $55.00	Professional		$28.36	$55.00	$55.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $14.30 / $25.00	Professional		$11.92	$14.30	$25.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $52,499.48 / $61,249.39	Facility		$20.84	$52,499.48	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $19.45 / $25.42	Professional		$18.36	$19.45	$25.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $64.00	Facility		$12.60	$12.60	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $10.71 / $12.60	Professional		$10.71	$10.71	$12.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $12.60 / $12.60	Professional		$10.71	$12.60	$12.60
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 $8.83 / $13.25 / $22.08	Professional		$8.83	$13.25	$22.08