Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $15.65 / $23.52	Facility		$6.11	$15.65	$23.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $6.11 / $10.57	Professional		$6.11	$6.11	$10.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $8.40 / $13.52	Facility		$6.75	$8.40	$13.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.65 / $8.25	Professional		$3.65	$3.65	$8.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $7.64 / $10.31	Facility		$5.18	$7.64	$10.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $9.93 / $10.31	Professional		$6.49	$9.93	$10.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.87 / $24.73	Facility		$4.97	$7.87	$24.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.93 / $11.36	Professional		$3.80	$5.93	$11.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $7.87 / $28.04	Facility		$4.97	$7.87	$28.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.88 / $9.93	Professional		$3.80	$4.88	$9.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.30 / $9.16	Professional		$5.73	$6.30	$9.16
United Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $4.58 / $10.32	Professional		$3.21	$4.58	$10.32