Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $14.53 / $24.73	Facility		$7.55	$14.53	$24.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $7.55 / $13.62	Professional		$7.55	$7.55	$13.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $10.38 / $16.71	Facility		$8.34	$10.38	$16.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.66 / $9.44	Professional		$4.66	$4.66	$9.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $9.44 / $12.74	Facility		$6.39	$9.44	$12.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $12.27 / $12.74	Professional		$8.02	$12.27	$12.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $9.73 / $35.81	Facility		$6.14	$9.73	$35.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.31 / $13.42	Professional		$4.30	$6.31	$13.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $9.73 / $36.43	Facility		$5.16	$9.73	$36.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.96 / $9.03	Professional		$4.26	$4.96	$9.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.78 / $11.32	Professional		$7.08	$7.78	$11.32
United Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $5.38 / $12.37	Professional		$3.60	$5.38	$12.37