Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $28.84 / $41.49	Facility		$13.29	$28.84	$41.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.61 / $37.09	Professional		$13.29	$13.61	$37.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.35 / $21.40 / $33.22	Facility		$14.35	$21.40	$33.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $22.40	Professional		$13.29	$13.29	$22.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $22.59	Facility		$13.29	$13.29	$22.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $17.94	Professional		$13.29	$13.29	$17.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $12.54 / $13.29	Facility		$12.54	$12.54	$13.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $19.98	Professional		$13.29	$13.29	$19.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $14.15 / $14.15	Facility		$14.15	$14.15	$14.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $19.98	Professional		$13.29	$13.29	$19.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $16.67 / $19.27	Professional		$14.61	$16.67	$19.27
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $14.23	Professional		$13.29	$13.29	$14.23