Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $14.45 / $23.90	Facility		$6.25	$14.45	$23.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $8.33	Professional		$6.25	$6.25	$8.33
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 $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $10.88 / $18.50	Facility		$10.88	$10.88	$18.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $6.49 / $8.06	Professional		$5.35	$6.49	$8.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Facility		$4.82	$4.82	$4.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Professional		$4.82	$4.82	$4.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Facility		$4.82	$4.82	$4.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Professional		$4.82	$4.82	$4.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $12.09 / $19.01	Professional		$8.06	$12.09	$19.01
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03