Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $22.35 / $34.29	Facility		$10.30	$22.35	$34.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.40 / $25.75	Professional		$10.30	$10.40	$25.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $17.98 / $29.56	Facility		$11.12	$17.98	$29.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $17.82	Professional		$10.30	$10.30	$17.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $17.51	Facility		$10.30	$10.30	$17.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $13.91	Professional		$10.30	$10.30	$13.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $9.72 / $10.30	Facility		$9.72	$9.72	$10.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $16.85	Professional		$10.30	$10.30	$16.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $17.52	Professional		$10.30	$10.30	$17.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $12.87 / $14.93	Professional		$11.33	$12.87	$14.93
United Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $13.41	Professional		$10.30	$10.30	$13.41