Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $14.60 / $19.96	Facility		$6.31	$14.60	$19.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $14.04	Professional		$6.31	$6.31	$14.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $15.40 / $42.77	Facility		$9.86	$15.40	$42.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $7.46	Professional		$0.67	$0.67	$7.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $6.71 / $59,702.01	Facility		$5.52	$6.71	$59,702.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Professional		$6.71	$6.71	$6.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Facility		$6.71	$6.71	$6.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $7.89	Professional		$6.71	$6.71	$7.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $6.71	Facility		$6.71	$6.71	$6.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $7.89	Professional		$6.71	$6.71	$7.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $6.58 / $7.24	Professional		$2.63	$6.58	$7.24