Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $7.81 / $12.24	Facility		$2.88	$7.81	$12.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $3.06	Professional		$2.88	$2.88	$3.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $6.67 / $19.50	Facility		$4.50	$6.67	$19.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.81 / $3.81	Professional		$1.46	$1.81	$3.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.37 / $45.75	Facility		$2.37	$2.37	$45.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $3.06	Professional		$2.25	$2.25	$3.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $85.00	Facility		$3.06	$3.06	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.60	Professional		$3.06	$3.06	$3.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $165.40	Facility		$85.00	$85.00	$165.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.70	Professional		$3.06	$3.06	$3.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.93	Professional		$3.00	$3.00	$3.93