Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $13.72 / $34.57	Facility		$7.50	$13.72	$34.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.50 / $9.36	Professional		$6.00	$7.50	$9.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $10.31 / $16.57	Facility		$8.27	$10.31	$16.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $9.60	Professional		$3.75	$3.75	$9.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $9.84 / $12.65	Facility		$7.96	$9.84	$12.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $12.18 / $12.65	Professional		$7.96	$12.18	$12.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.09 / $9.65 / $31.97	Facility		$6.09	$9.65	$31.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $5.36 / $13.42	Professional		$3.15	$5.36	$13.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $9.65 / $36.43	Facility		$4.62	$9.65	$36.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.69 / $6.75	Professional		$3.15	$4.69	$6.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $7.73 / $11.24	Professional		$5.15	$7.73	$11.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $5.77 / $11.24	Professional		$3.53	$5.77	$11.24