Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $15.73 / $24.14	Facility		$7.25	$15.73	$24.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.54 / $13.41	Professional		$7.25	$7.54	$13.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $16.97 / $47.13	Facility		$10.88	$16.97	$47.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $13.19	Professional		$7.25	$7.25	$13.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $7.25 / $12.33	Facility		$7.25	$7.25	$12.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $9.78	Professional		$7.25	$7.25	$9.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $6.84 / $7.25	Facility		$6.84	$6.84	$7.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $39.11	Professional		$7.25	$7.25	$39.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $28.42 / $52.46	Facility		$28.42	$28.42	$52.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $39.11	Professional		$7.25	$7.25	$39.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.63 / $10.79	Professional		$8.02	$9.63	$10.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $9.50	Professional		$7.25	$7.25	$9.50