Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $9.18 / $14.09	Facility		$4.23	$9.18	$14.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.29 / $10.58	Professional		$4.23	$4.29	$10.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $7.39 / $12.14	Facility		$4.57	$7.39	$12.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $7.13	Professional		$4.23	$4.23	$7.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $7.19	Facility		$4.23	$4.23	$7.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $5.71	Professional		$4.23	$4.23	$5.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $3.99 / $4.23	Facility		$3.99	$3.99	$4.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $9.85	Professional		$4.23	$4.23	$9.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.88 / $9.88 / $9.88	Facility		$9.88	$9.88	$9.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $9.85	Professional		$4.23	$4.23	$9.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $5.30 / $6.13	Professional		$4.65	$5.30	$6.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.58	Professional		$4.23	$4.23	$4.58