Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $0.82 / $95.00	Facility		$0.82	$0.82	$95.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.84 / $1.00	Professional		$0.82	$0.84	$1.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.89 / $5.53	Facility		$1.28	$1.89	$5.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $30.00 / $46.98	Professional		$1.04	$30.00	$46.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $133.19 / $162.81	Facility		$133.19	$133.19	$162.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $56.29 / $56.29	Professional		$56.29	$56.29	$56.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $56.29 / $56.29	Professional		$56.29	$56.29	$56.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $100.00	Professional		$60.00	$60.00	$100.00