Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $22.00 / $31.50	Facility		$10.14	$22.00	$31.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.24 / $28.16	Professional		$10.14	$10.24	$28.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $17.71 / $29.10	Facility		$10.95	$17.71	$29.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $17.55	Professional		$10.14	$10.14	$17.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $10.14 / $17.23	Facility		$10.14	$10.14	$17.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $13.69	Professional		$10.14	$10.14	$13.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $9.57 / $10.14	Facility		$9.57	$9.57	$10.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $16.96	Professional		$10.14	$10.14	$16.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $9.57 / $10.14	Facility		$9.57	$9.57	$10.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $16.96	Professional		$10.14	$10.14	$16.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $12.67 / $14.68	Professional		$11.14	$12.67	$14.68
United Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $12.19	Professional		$10.14	$10.14	$12.19