Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $27.94 / $67.16	Facility		$10.05	$27.94	$67.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.53 / $11.62	Professional		$10.05	$10.53	$11.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $13.82 / $22.23	Facility		$11.09	$13.82	$22.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $13.56	Professional		$6.20	$6.20	$13.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $12.56 / $16.96	Facility		$10.08	$12.56	$16.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $16.32 / $16.96	Professional		$10.68	$16.32	$16.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $12.93 / $46.90	Facility		$8.16	$12.93	$46.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $10.08 / $18.29	Professional		$6.44	$10.08	$18.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $12.93 / $47.62	Facility		$8.16	$12.93	$47.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $8.19 / $16.89	Professional		$6.44	$8.19	$16.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.36 / $15.07	Professional		$6.91	$10.36	$15.07
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.54 / $17.55	Professional		$5.28	$7.54	$17.55