Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $23.38 / $29.58	Facility		$9.35	$23.38	$29.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $25.99	Professional		$9.35	$9.35	$25.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $22.79 / $63.31	Facility		$14.61	$22.79	$63.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.53 / $13.10	Professional		$3.32	$3.53	$13.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $8.80 / $13.13	Facility		$5.97	$8.80	$13.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $15.64	Professional		$9.94	$9.94	$15.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $15.64	Professional		$9.94	$9.94	$15.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.15 / $4.81	Professional		$3.65	$4.15	$4.81
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $12.68	Professional		$9.74	$9.74	$12.68