Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $21.16 / $32.47	Facility		$7.80	$21.16	$32.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $8.08 / $21.16	Professional		$7.80	$8.08	$21.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $19.02 / $52.85	Facility		$12.20	$19.02	$52.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $3.61 / $10.55	Professional		$3.41	$3.61	$10.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $3.50	Facility		$2.06	$2.06	$3.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Facility		$8.28	$8.28	$8.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $13.04	Professional		$8.28	$8.28	$13.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Facility		$8.28	$8.28	$8.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $13.04	Professional		$8.28	$8.28	$13.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $4.51 / $5.23	Professional		$3.97	$4.51	$5.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.78	Professional		$8.13	$8.13	$8.78