Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $21.34 / $39.49	Facility		$8.53	$21.34	$39.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $8.53 / $10.14	Professional		$5.66	$8.53	$10.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $11.74 / $18.88	Facility		$9.42	$11.74	$18.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $5.27 / $11.52	Professional		$5.27	$5.27	$11.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $10.67 / $14.40	Facility		$7.80	$10.67	$14.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $13.87 / $25.61	Professional		$9.07	$13.87	$25.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $10.99 / $24.09	Facility		$6.94	$10.99	$24.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $10.00 / $18.05	Professional		$5.45	$10.00	$18.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $10.99 / $40.47	Facility		$6.94	$10.99	$40.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $8.57 / $17.89	Professional		$5.45	$8.57	$17.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $5.87 / $5.87	Professional		$5.87	$5.87	$5.87
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $6.40 / $13.98	Professional		$2.68	$6.40	$13.98