Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $25.04 / $2,446.69	Facility		$11.54	$25.04	$2,446.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.65 / $25.04	Professional		$11.53	$11.65	$25.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $20.14 / $33.11	Facility		$12.46	$20.14	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $19.45	Professional		$11.54	$11.54	$19.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $11.54 / $19.62	Facility		$11.54	$11.54	$19.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $15.58	Professional		$11.54	$11.54	$15.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $11.54	Facility		$10.88	$10.88	$11.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $18.30	Professional		$11.54	$11.54	$18.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $11.54	Facility		$10.88	$10.88	$11.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $18.30	Professional		$11.54	$11.54	$18.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $14.43 / $16.73	Professional		$12.69	$14.43	$16.73
United Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $11.53 / $11.53	Facility		$11.53	$11.53	$11.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $11.54 / $12.48	Professional		$11.54	$11.54	$12.48