Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $19.38 / $34.13	Facility		$8.02	$19.38	$34.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $10.25 / $19.38	Professional		$7.04	$10.25	$19.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $23.99 / $66.63	Facility		$15.38	$23.99	$66.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $19.47	Professional		$10.25	$10.25	$19.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $10.25 / $17.43	Facility		$10.25	$10.25	$17.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $13.84	Professional		$10.25	$10.25	$13.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $9.67 / $10.25	Facility		$9.67	$9.67	$10.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $17.23	Professional		$10.25	$10.25	$17.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $17.23	Professional		$10.25	$10.25	$17.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $10.10 / $14.35	Professional		$8.07	$10.10	$14.35
United Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $14.26	Professional		$10.25	$10.25	$14.26