Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $12.43 / $19.07	Facility		$5.73	$12.43	$19.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.33	Professional		$5.73	$5.73	$7.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.19 / $9.83 / $16.32	Facility		$6.19	$9.83	$16.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.52 / $9.66	Professional		$5.73	$6.52	$9.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $8.75	Facility		$5.73	$5.73	$8.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.74	Professional		$5.73	$5.73	$7.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $5.73 / $8.25	Facility		$5.41	$5.73	$8.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $7.30	Professional		$5.73	$5.73	$7.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $5.73 / $8.25	Facility		$5.41	$5.73	$8.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $8.11	Professional		$5.73	$5.73	$8.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $6.58 / $8.26	Professional		$5.73	$6.58	$8.26
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.82	Professional		$5.73	$5.73	$6.82