Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $12.09 / $37.00	Facility		$12.09	$12.09	$37.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $14.27	Professional		$12.09	$12.09	$14.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.16 / $20.70	Professional		$6.46	$7.16	$20.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $18.05 / $20.22	Facility		$14.44	$18.05	$20.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $18.77 / $34.65	Professional		$14.44	$18.77	$34.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Professional		$2.47	$2.47	$2.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $11.67	Professional		$2.47	$2.47	$11.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $12.24 / $20.21	Professional		$5.42	$12.24	$20.21