Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $19.84 / $27.99	Facility		$7.27	$19.84	$27.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.27 / $13.12	Professional		$7.27	$7.27	$13.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $10.00 / $16.09	Facility		$8.02	$10.00	$16.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $9.81	Professional		$4.13	$4.13	$9.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.17 / $9.09 / $12.27	Facility		$7.17	$9.09	$12.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $11.82 / $12.27	Professional		$7.73	$11.82	$12.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $9.36 / $30.58	Facility		$5.91	$9.36	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.73 / $12.91	Professional		$4.29	$6.73	$12.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $9.36 / $31.82	Facility		$5.91	$9.36	$31.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.52 / $11.26	Professional		$4.29	$5.52	$11.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $8.18 / $11.25	Professional		$6.82	$8.18	$11.25
United Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $5.45 / $16.55	Professional		$3.82	$5.45	$16.55