Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $44.00	Facility		$2.49	$2.49	$44.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.56	Professional		$2.49	$2.49	$2.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.88 / $5.15	Professional		$2.49	$2.88	$5.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $4.23	Facility		$2.49	$2.49	$4.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.36	Professional		$2.49	$2.49	$3.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $2.35 / $2.49	Facility		$2.35	$2.35	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $4.09	Professional		$2.49	$2.49	$4.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $12.63 / $85.00	Facility		$12.63	$12.63	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $4.09	Professional		$2.49	$2.49	$4.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $3.22 / $11.54	Professional		$2.49	$3.22	$11.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $3.46	Professional		$2.49	$2.49	$3.46