Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $30.32 / $38.35	Facility		$12.13	$30.32	$38.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $33.72	Professional		$12.13	$12.13	$33.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $12.02 / $29.09	Facility		$7.24	$12.02	$29.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $8.10 / $19.44	Professional		$6.70	$8.10	$19.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $6.19 / $10.52	Facility		$6.19	$6.19	$10.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.19 / $6.19	Professional		$6.19	$6.19	$6.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Facility		$12.89	$12.89	$12.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $20.28	Professional		$12.89	$12.89	$20.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $20.28	Professional		$12.89	$12.89	$20.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $8.37 / $9.71	Professional		$7.37	$8.37	$9.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $13.54	Professional		$12.43	$12.43	$13.54