Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $12.62 / $26.50	Facility		$6.98	$12.62	$26.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.74 / $11.85	Professional		$8.66	$8.74	$11.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $20.26 / $56.29	Facility		$12.99	$20.26	$56.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $14.28	Professional		$8.66	$8.66	$14.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $8.66 / $13.13	Facility		$7.19	$8.66	$13.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $8.66 / $9.09	Professional		$6.06	$8.66	$9.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $8.66 / $17.63	Facility		$8.17	$8.66	$17.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $20.74	Professional		$8.66	$8.66	$20.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $17.63 / $17.63	Facility		$8.66	$17.63	$17.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $20.74	Professional		$8.66	$8.66	$20.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $9.77 / $12.48	Professional		$8.66	$9.77	$12.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $8.66 / $12.05	Professional		$3.46	$8.66	$12.05