Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $15.48 / $27.72	Facility		$7.20	$15.48	$27.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $12.99	Professional		$7.20	$7.20	$12.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $9.90 / $15.93	Facility		$7.95	$9.90	$15.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $9.00	Professional		$3.60	$3.60	$9.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $9.00 / $12.15	Facility		$6.00	$9.00	$12.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.70 / $12.15	Professional		$7.65	$11.70	$12.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $9.27 / $30.71	Facility		$5.85	$9.27	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.85 / $12.91	Professional		$4.13	$5.85	$12.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $9.27 / $35.07	Facility		$4.50	$9.27	$35.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.78 / $9.26	Professional		$4.13	$4.78	$9.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $7.42 / $10.80	Professional		$6.75	$7.42	$10.80
United Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $9.00 / $9.00	Facility		$4.72	$9.00	$9.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $5.40 / $10.80	Professional		$3.78	$5.40	$10.80