Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $15.80 / $5,512.60	Facility		$7.28	$15.80	$5,512.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.34 / $20.00	Professional		$7.28	$7.34	$20.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $12.71 / $20.89	Facility		$7.86	$12.71	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $12.27	Professional		$7.28	$7.28	$12.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $7.28 / $12.38	Facility		$7.28	$7.28	$12.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $9.83	Professional		$7.28	$7.28	$9.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $6.86 / $7.28	Facility		$6.86	$6.86	$7.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $11.31	Professional		$7.28	$7.28	$11.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $14.33 / $14.33	Facility		$14.33	$14.33	$14.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $11.31	Professional		$7.28	$7.28	$11.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $9.10 / $10.49	Professional		$7.96	$9.10	$10.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $7.87	Professional		$7.28	$7.28	$7.87