Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $15.43 / $23.23	Facility		$7.11	$15.43	$23.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.47 / $17.78	Professional		$7.11	$7.47	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $12.42 / $20.41	Facility		$7.68	$12.42	$20.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $11.98	Professional		$7.11	$7.11	$11.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $7.11 / $12.09	Facility		$7.11	$7.11	$12.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $9.60	Professional		$7.11	$7.11	$9.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $7.11	Facility		$6.71	$6.71	$7.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $15.03	Professional		$7.11	$7.11	$15.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $15.03	Professional		$7.11	$7.11	$15.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $9.33 / $10.45	Professional		$7.82	$9.33	$10.45
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $9.26	Professional		$7.11	$7.11	$9.26