Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $19.62 / $30.22	Facility		$7.85	$19.62	$30.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $9.81	Professional		$7.85	$7.85	$9.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $10.79 / $17.36	Facility		$8.66	$10.79	$17.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $10.59	Professional		$4.51	$4.51	$10.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $9.81 / $13.24	Facility		$6.60	$9.81	$13.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $12.75 / $13.24	Professional		$8.34	$12.75	$13.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $10.11 / $45.97	Facility		$6.38	$10.11	$45.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $7.35 / $13.94	Professional		$4.62	$7.35	$13.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $10.11 / $45.97	Facility		$6.38	$10.11	$45.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $6.00 / $12.29	Professional		$4.62	$6.00	$12.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $8.83 / $12.14	Professional		$7.36	$8.83	$12.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $5.89 / $12.85	Professional		$4.12	$5.89	$12.85