Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $47.00	Facility		$13.02	$13.02	$47.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $13.02 / $18.03	Professional		$11.31	$13.02	$18.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $11.04 / $26.66	Professional		$8.47	$11.04	$26.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.71 / $20.51 / $30.46	Facility		$10.71	$20.51	$30.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $26.66 / $43.92	Professional		$22.56	$26.66	$43.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Professional		$8.36	$8.36	$8.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $24.04 / $24.04	Facility		$24.04	$24.04	$24.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Professional		$8.36	$8.36	$8.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $6.71 / $8.56	Professional		$5.19	$6.71	$8.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $9.74 / $13.02	Professional		$6.82	$9.74	$13.02