Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $14.69 / $22.54	Facility		$6.77	$14.69	$22.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.83 / $18.57	Professional		$6.76	$6.83	$18.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $11.82 / $19.43	Facility		$7.31	$11.82	$19.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $12.86	Professional		$6.77	$6.77	$12.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.77 / $10.21	Facility		$6.68	$6.77	$10.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.77 / $9.14	Professional		$6.68	$6.77	$9.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $6.39 / $6.77	Facility		$6.39	$6.39	$6.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $28.76	Professional		$6.77	$6.77	$28.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.24 / $54.24 / $54.24	Facility		$54.24	$54.24	$54.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $28.76	Professional		$6.77	$6.77	$28.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $10.02 / $14.21	Professional		$8.35	$10.02	$14.21
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.42	Professional		$6.77	$6.77	$9.42