Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $10.63 / $50.00	Facility		$10.63	$10.63	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $10.63 / $12.55	Professional		$10.63	$10.63	$12.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $15.29 / $24.58	Facility		$13.04	$15.29	$24.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $6.15 / $17.91	Professional		$5.24	$6.15	$17.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $15.84 / $18.63	Facility		$10.77	$15.84	$18.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $15.05 / $15.05	Professional		$15.05	$15.05	$15.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $5.95	Professional		$5.95	$5.95	$5.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $10.25	Professional		$5.95	$5.95	$10.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $7.64 / $10.07	Professional		$6.95	$7.64	$10.07
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $10.76 / $18.29	Professional		$4.76	$10.76	$18.29