Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $23.83 / $34.02	Facility		$10.98	$23.83	$34.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $11.09 / $27.59	Professional		$10.98	$11.09	$27.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $19.18 / $31.51	Facility		$11.86	$19.18	$31.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $18.51	Professional		$10.98	$10.98	$18.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $10.98 / $18.67	Facility		$10.98	$10.98	$18.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $14.82	Professional		$10.98	$10.98	$14.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $10.98	Facility		$10.36	$10.36	$10.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $17.04	Professional		$10.98	$10.98	$17.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $10.98	Facility		$10.36	$10.36	$10.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $17.04	Professional		$10.98	$10.98	$17.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $13.72 / $15.86	Professional		$12.03	$13.72	$15.86
United Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $10.98 / $10.98	Facility		$10.98	$10.98	$10.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $13.93	Professional		$10.98	$10.98	$13.93