Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $17.10 / $26.24	Facility		$7.88	$17.10	$26.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.96 / $10.21	Professional		$7.88	$7.96	$10.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $13.51 / $22.46	Facility		$8.51	$13.51	$22.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $8.98 / $13.49	Professional		$7.88	$8.98	$13.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $7.88 / $11.90	Facility		$7.88	$7.88	$11.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $10.64	Professional		$7.88	$7.88	$10.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.43 / $7.88 / $11.49	Facility		$7.43	$7.88	$11.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $11.22	Professional		$7.88	$7.88	$11.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $10.29 / $85.00	Facility		$7.88	$10.29	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $13.78	Professional		$7.88	$7.88	$13.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $9.17 / $11.42	Professional		$7.98	$9.17	$11.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $7.88 / $9.77	Professional		$7.88	$7.88	$9.77