Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $21.69 / $41.08	Facility		$10.67	$21.69	$41.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.67 / $19.25	Professional		$10.67	$10.67	$19.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.78 / $14.67 / $23.61	Facility		$11.78	$14.67	$23.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $13.90	Professional		$5.34	$5.34	$13.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $13.34 / $18.01	Facility		$8.90	$13.34	$18.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $17.34 / $18.01	Professional		$11.34	$17.34	$18.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $13.73 / $45.52	Facility		$8.67	$13.73	$45.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $8.67 / $19.10	Professional		$6.11	$8.67	$19.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $13.73 / $51.30	Facility		$6.57	$13.73	$51.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $6.91 / $13.41	Professional		$6.11	$6.91	$13.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $12.01 / $16.51	Professional		$10.01	$12.01	$16.51
United Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.69 / $17.48	Professional		$5.26	$7.69	$17.48