Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $28.00	Facility		$8.61	$8.61	$28.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $10.17	Professional		$8.61	$8.61	$10.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $12.39 / $19.91	Facility		$10.57	$12.39	$19.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $12.53	Professional		$4.13	$4.13	$12.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $12.89 / $15.09	Facility		$10.31	$12.89	$15.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $13.40 / $24.74	Professional		$10.31	$13.40	$24.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $8.31	Professional		$5.09	$5.09	$8.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.98 / $6.56	Professional		$4.53	$4.98	$6.56
United Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $11.61 / $11.61	Facility		$9.28	$11.61	$11.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $8.73 / $14.45	Professional		$3.86	$8.73	$14.45