Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.07 / $13.79 / $68.48	Facility		$7.07	$13.79	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $8.57 / $19.94	Professional		$6.05	$8.57	$19.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $14.16 / $39.33	Facility		$9.08	$14.16	$39.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $11.00	Professional		$6.05	$6.05	$11.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.05 / $10.29	Facility		$6.05	$6.05	$10.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $8.17	Professional		$6.05	$6.05	$8.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $5.70 / $6.05	Facility		$5.70	$5.70	$6.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $34.88	Professional		$6.05	$6.05	$34.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $6.05 / $6.05	Facility		$5.70	$6.05	$6.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $34.88	Professional		$6.05	$6.05	$34.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $14.08 / $18.22	Professional		$7.56	$14.08	$18.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $7.93	Professional		$6.05	$6.05	$7.93