Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $6.53 / $58.00	Facility		$6.53	$6.53	$58.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $6.53 / $8.82	Professional		$5.68	$6.53	$8.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.54 / $13.37	Professional		$4.25	$5.54	$13.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.29 / $15.29	Facility		$5.37	$10.29	$15.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $13.38 / $22.03	Professional		$11.32	$13.38	$22.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $12.06	Facility		$12.06	$12.06	$12.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.36 / $4.29	Professional		$2.60	$3.36	$4.29
United Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $5.14 / $6.53	Professional		$3.42	$5.14	$6.53