Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $23.35 / $35.83	Facility		$10.76	$23.35	$35.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.89 / $27.22	Professional		$10.76	$10.89	$27.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $17.32 / $26.90	Facility		$11.62	$17.32	$26.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $18.14	Professional		$10.76	$10.76	$18.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $10.76 / $18.29	Facility		$10.76	$10.76	$18.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $14.53	Professional		$10.76	$10.76	$14.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $10.15 / $10.76	Facility		$10.15	$10.15	$10.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $19.32	Professional		$10.76	$10.76	$19.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $19.32	Professional		$10.76	$10.76	$19.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $13.47 / $15.60	Professional		$11.83	$13.47	$15.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $14.01	Professional		$10.76	$10.76	$14.01