Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $14.99 / $41.00	Facility		$14.99	$14.99	$41.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $14.99 / $18.72	Professional		$13.03	$14.99	$18.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $12.66 / $30.69	Professional		$9.74	$12.66	$30.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $23.61 / $35.06	Facility		$12.30	$23.61	$35.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $30.69 / $50.55	Professional		$25.97	$30.69	$50.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Professional		$9.63	$9.63	$9.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $27.67 / $27.67	Facility		$27.67	$27.67	$27.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Professional		$9.63	$9.63	$9.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $7.71 / $9.83	Professional		$5.96	$7.71	$9.83
United Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $11.29 / $14.99	Professional		$7.86	$11.29	$14.99