Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $21.06 / $150.55	Facility		$11.16	$21.06	$150.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.71 / $24.10	Professional		$9.64	$10.71	$24.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $22.56 / $62.66	Facility		$14.46	$22.56	$62.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $19.23	Professional		$9.64	$9.64	$19.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $9.64 / $16.39	Facility		$9.64	$9.64	$16.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $13.01	Professional		$9.64	$9.64	$13.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $9.10 / $9.64	Facility		$9.10	$9.10	$9.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $32.90	Professional		$9.64	$9.64	$32.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $9.64 / $9.64	Facility		$9.10	$9.64	$9.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $34.59	Professional		$9.64	$9.64	$34.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $13.97 / $19.43	Professional		$12.05	$13.97	$19.43
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $13.54 / $66.50	Professional		$9.64	$13.54	$66.50