Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $24.28 / $37.15	Facility		$12.14	$24.28	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.26 / $27.68	Professional		$12.14	$12.26	$27.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $21.20 / $34.84	Facility		$13.11	$21.20	$34.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $21.02	Professional		$12.14	$12.14	$21.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $20.64	Facility		$12.14	$12.14	$20.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $16.39	Professional		$12.14	$12.14	$16.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $12.14	Facility		$11.45	$11.45	$12.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $19.38	Professional		$12.14	$12.14	$19.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $12.14	Facility		$11.45	$11.45	$12.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $19.38	Professional		$12.14	$12.14	$19.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $15.18 / $17.61	Professional		$13.35	$15.18	$17.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $16.89	Professional		$12.14	$12.14	$16.89