Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $15.30 / $77.00	Facility		$5.51	$15.30	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $6.20 / $12.40	Professional		$5.51	$6.20	$12.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $7.58 / $12.19	Facility		$6.08	$7.58	$12.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $7.44	Professional		$3.40	$3.40	$7.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $6.89 / $9.30	Facility		$4.70	$6.89	$9.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $8.96 / $9.30	Professional		$5.86	$8.96	$9.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $7.10 / $28.84	Facility		$4.48	$7.10	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.53 / $10.02	Professional		$3.47	$5.53	$10.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $7.10 / $28.84	Facility		$4.48	$7.10	$28.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.51 / $9.26	Professional		$3.47	$4.51	$9.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.68 / $8.27	Professional		$5.17	$5.68	$8.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.13 / $9.61	Professional		$2.89	$4.13	$9.61