Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $10.15 / $3,654.34	Facility		$4.45	$10.15	$3,654.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $10.06	Professional		$4.45	$4.45	$10.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $7.63 / $12.68	Facility		$4.80	$7.63	$12.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.98 / $7.43	Professional		$4.45	$4.98	$7.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.45 / $4.45 / $6.81	Facility		$4.45	$4.45	$6.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $6.01	Professional		$4.45	$4.45	$6.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.45 / $6.16	Facility		$4.20	$4.45	$6.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $6.29	Professional		$4.45	$4.45	$6.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.45 / $6.16	Facility		$4.20	$4.45	$6.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $7.21	Professional		$4.45	$4.45	$7.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $5.01 / $6.32	Professional		$4.36	$5.01	$6.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $6.25	Professional		$4.45	$4.45	$6.25