Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $23.00	Facility		$9.77	$9.77	$23.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $13.00	Professional		$9.77	$9.77	$13.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $14.14 / $22.72	Facility		$12.06	$14.14	$22.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $10.58 / $17.82	Professional		$10.57	$10.58	$17.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $14.94 / $17.23	Facility		$12.21	$14.94	$17.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Professional		$14.57	$14.57	$14.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $17.23	Professional		$14.57	$14.57	$17.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $15.71 / $20.72	Professional		$14.29	$15.71	$20.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $13.25 / $13.25	Facility		$10.60	$13.25	$13.25
United Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $15.51 / $24.12	Professional		$4.96	$15.51	$24.12