Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $14.57 / $22.00	Facility		$5.63	$14.57	$22.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $5.63 / $15.65	Professional		$5.63	$5.63	$15.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $6.17 / $10.06	Professional		$5.86	$6.17	$10.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $5.35	Facility		$3.24	$3.24	$5.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $9.41	Professional		$6.17	$6.17	$9.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $9.78	Professional		$6.17	$6.17	$9.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $7.71 / $8.94	Professional		$6.78	$7.71	$8.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $13.58 / $15.12	Professional		$12.20	$13.58	$15.12