Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $7.93 / $35.00	Facility		$7.93	$7.93	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $7.93 / $9.99	Professional		$6.42	$7.93	$9.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $6.69 / $16.23	Professional		$5.15	$6.69	$16.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.51 / $12.49 / $18.55	Facility		$6.51	$12.49	$18.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $16.23 / $26.74	Professional		$13.74	$16.23	$26.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $14.64 / $14.64	Facility		$14.64	$14.64	$14.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.08 / $5.19	Professional		$3.15	$4.08	$5.19
United Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $6.18 / $9.06	Professional		$4.16	$6.18	$9.06