Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $6.92 / $10.72	Facility		$3.63	$6.92	$10.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $8.91	Professional		$3.02	$3.98	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.79 / $8.32	Facility		$4.17	$4.79	$8.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.88 / $5.89	Professional		$2.24	$2.88	$5.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $5.25	Facility		$3.09	$3.09	$5.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $17.38	Facility		$2.95	$2.95	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.95 / $6.76	Professional		$2.29	$2.95	$6.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $4.68 / $17.38	Facility		$2.95	$4.68	$17.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.95 / $6.31	Professional		$2.29	$2.95	$6.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.80 / $5.62	Professional		$3.09	$3.80	$5.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.79 / $10.47	Professional		$2.95	$4.79	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $3.16 / $4.57	Facility		$1.62	$3.16	$4.57
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.75 / $5.50	Professional		$1.91	$2.75	$5.50