Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $47.00	Facility		$15.85	$15.85	$47.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $15.85 / $19.80	Professional		$13.00	$15.85	$19.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $13.39 / $32.47	Professional		$10.30	$13.39	$32.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $24.98 / $37.10	Facility		$13.00	$24.98	$37.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $32.47 / $53.49	Professional		$27.48	$32.47	$53.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Facility		$29.27	$29.27	$29.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $8.15 / $10.39	Professional		$6.30	$8.15	$10.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $11.86 / $15.85	Professional		$8.31	$11.86	$15.85