Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Facility		$10.76	$10.76	$10.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $10.76 / $19.30	Professional		$10.53	$10.76	$19.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $25.05 / $40.08	Facility		$18.18	$25.05	$40.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $14.14 / $31.38	Professional		$14.06	$14.14	$31.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $15.03 / $21.05	Facility		$2.00	$15.03	$21.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $15.01 / $32.18	Professional		$1.81	$15.01	$32.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $23.48	Facility		$13.24	$13.24	$23.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.24 / $23.25	Professional		$11.25	$13.24	$23.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $14.26	Facility		$13.24	$13.24	$14.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Professional		$13.24	$13.24	$13.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $16.61 / $23.95	Professional		$13.28	$16.61	$23.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $9.94 / $15.19	Professional		$6.64	$9.94	$15.19