Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $16.43 / $23.54	Facility		$7.57	$16.43	$23.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.64 / $21.04	Professional		$7.57	$7.64	$21.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $13.22 / $21.73	Facility		$8.18	$13.22	$21.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $13.10	Professional		$7.57	$7.57	$13.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $12.87	Facility		$7.57	$7.57	$12.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $10.22	Professional		$7.57	$7.57	$10.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Facility		$6.77	$6.77	$6.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.94	Professional		$6.77	$6.77	$9.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.94	Professional		$6.77	$6.77	$9.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $9.86	Professional		$7.57	$7.57	$9.86