Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $19.68 / $28.39	Facility		$9.07	$19.68	$28.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.22 / $22.68	Professional		$9.07	$9.22	$22.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $15.84 / $26.03	Facility		$9.80	$15.84	$26.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $15.29	Professional		$9.07	$9.07	$15.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $9.07 / $15.42	Facility		$9.07	$9.07	$15.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $12.24	Professional		$9.07	$9.07	$12.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $8.55 / $9.07	Facility		$8.55	$8.55	$9.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $12.73	Professional		$9.07	$9.07	$12.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $12.73	Professional		$9.07	$9.07	$12.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $11.33 / $13.15	Professional		$9.97	$11.33	$13.15
United Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $9.81 / $9.81	Facility		$9.81	$9.81	$9.81
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.71	Professional		$9.07	$9.07	$9.71