Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $12.35 / $32.97	Facility		$11.03	$12.35	$32.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.03 / $18.75	Professional		$11.02	$11.03	$18.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $19.26 / $31.66	Facility		$11.91	$19.26	$31.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $19.80	Professional		$9.93	$9.93	$19.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $18.75	Facility		$11.03	$11.03	$18.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $14.89	Professional		$11.03	$11.03	$14.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $10.91 / $10.91	Facility		$10.91	$10.91	$10.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $10.91 / $11.62	Professional		$10.91	$10.91	$11.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $10.91 / $11.62	Professional		$9.42	$10.91	$11.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $40.00 / $50.00	Professional		$15.84	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $11.14 / $12.92	Professional		$9.36	$11.14	$12.92