Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $22.55 / $34.60	Facility		$10.39	$22.55	$34.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $13.30	Professional		$10.39	$10.39	$13.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.82 / $29.61	Facility		$11.22	$17.82	$29.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.63 / $17.29	Professional		$10.39	$11.63	$17.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $10.39 / $15.59	Facility		$10.39	$10.39	$15.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $14.03	Professional		$10.39	$10.39	$14.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $10.39 / $14.99	Facility		$9.80	$10.39	$14.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $13.23	Professional		$10.39	$10.39	$13.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $13.43 / $85.00	Facility		$10.39	$13.43	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $14.70	Professional		$10.39	$10.39	$14.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.94 / $15.01	Professional		$10.39	$11.94	$15.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.39 / $12.36	Professional		$10.39	$10.39	$12.36