Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $12.58 / $22.52	Facility		$5.85	$12.58	$22.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $5.85 / $6.94	Professional		$3.66	$5.85	$6.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $8.03 / $12.94	Facility		$6.45	$8.03	$12.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $7.35	Professional		$2.92	$2.92	$7.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $7.31 / $9.86	Facility		$5.45	$7.31	$9.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $9.50 / $9.86	Professional		$6.21	$9.50	$9.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $7.52 / $18.47	Facility		$4.75	$7.52	$18.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $4.75 / $10.84	Professional		$3.30	$4.75	$10.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $7.52 / $24.94	Facility		$4.75	$7.52	$24.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.90 / $7.60	Professional		$3.30	$3.90	$7.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $6.57 / $9.04	Professional		$5.48	$6.57	$9.04
United Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Facility		$9.00	$9.00	$9.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.38 / $13.31	Professional		$3.07	$4.38	$13.31