Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $30.06 / $48.35	Facility		$11.62	$30.06	$48.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $32.29	Professional		$11.62	$11.62	$32.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $23.95	Professional		$14.52	$14.52	$23.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $19.60 / $33.32	Facility		$19.60	$19.60	$33.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $19.60	Professional		$14.52	$14.52	$19.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $19.42	Professional		$14.52	$14.52	$19.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $19.42	Professional		$14.52	$14.52	$19.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $18.14 / $21.05	Professional		$15.97	$18.14	$21.05
United Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $15.55	Professional		$14.52	$14.52	$15.55