Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $19.12 / $29.99	Facility		$7.79	$19.12	$29.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $7.79 / $14.06	Professional		$7.79	$7.79	$14.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $10.71 / $17.23	Facility		$8.60	$10.71	$17.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $10.51	Professional		$4.25	$4.25	$10.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $9.74 / $13.15	Facility		$6.50	$9.74	$13.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $12.66 / $13.15	Professional		$8.27	$12.66	$13.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.33 / $10.02 / $33.22	Facility		$6.33	$10.02	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.91 / $13.94	Professional		$4.46	$6.91	$13.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $10.02 / $37.79	Facility		$5.63	$10.02	$37.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.68 / $11.56	Professional		$4.46	$5.68	$11.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $8.04 / $11.69	Professional		$7.31	$8.04	$11.69
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.84 / $12.76	Professional		$4.09	$5.84	$12.76