Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $26.25 / $77.00	Facility		$20.00	$26.25	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $23.75	Professional		$20.00	$20.00	$23.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $27.50 / $44.24	Facility		$22.08	$27.50	$44.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.51 / $25.00	Professional		$10.00	$11.51	$25.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $25.00 / $33.75	Facility		$18.28	$25.00	$33.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $32.50 / $60.00	Professional		$21.25	$32.50	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $25.72 / $85.31	Facility		$16.25	$25.72	$85.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $32.34	Professional		$13.15	$13.15	$32.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $25.74 / $97.18	Facility		$12.31	$25.74	$97.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $16.25	Professional		$13.15	$13.15	$16.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $13.75 / $13.75	Professional		$13.75	$13.75	$13.75
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $15.00 / $30.00	Professional		$8.30	$15.00	$30.00