Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $19.80 / $62.96	Facility		$7.87	$19.80	$62.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $14.75	Professional		$7.87	$7.87	$14.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $10.82 / $17.41	Facility		$8.69	$10.82	$17.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $7.44	Professional		$4.41	$4.41	$7.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $9.84 / $13.28	Facility		$7.19	$9.84	$13.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $12.79 / $23.62	Professional		$8.36	$12.79	$23.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $10.14 / $37.35	Facility		$6.40	$10.14	$37.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $8.99 / $15.28	Professional		$4.46	$8.99	$15.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $10.14 / $37.35	Facility		$6.40	$10.14	$37.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $8.36 / $14.94	Professional		$4.46	$8.36	$14.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $5.41 / $5.41	Professional		$5.41	$5.41	$5.41
United Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $9.71 / $12.45	Professional		$4.92	$9.71	$12.45