Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $36.00	Facility		$10.09	$10.09	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.39	Professional		$10.09	$10.09	$10.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $11.60 / $19.64	Professional		$10.09	$11.60	$19.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $17.14	Facility		$10.09	$10.09	$17.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $13.62	Professional		$10.09	$10.09	$13.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $10.09	Facility		$9.52	$9.52	$10.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $17.48	Professional		$10.09	$10.09	$17.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $17.48	Professional		$10.09	$10.09	$17.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $21.71 / $50.00	Professional		$13.34	$21.71	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $38.95	Facility		$10.09	$10.09	$38.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $13.14	Professional		$10.09	$10.09	$13.14