Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $22.83 / $38.59	Facility		$5.86	$22.83	$38.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.97 / $9.85	Professional		$5.25	$5.97	$9.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $8.18 / $10.77	Professional		$6.55	$8.18	$10.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $5.60 / $9.24	Facility		$5.60	$5.60	$9.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $85.00	Facility		$6.55	$6.55	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $9.99	Professional		$6.55	$6.55	$9.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $6.55	Facility		$6.55	$6.55	$6.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $6.55 / $11.59	Professional		$6.55	$6.55	$11.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $16.52 / $19.96	Professional		$13.77	$16.52	$19.96
United Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $11.59 / $14.02	Professional		$11.01	$11.59	$14.02