Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $9.12 / $14.13	Facility		$4.79	$9.12	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $10.96	Professional		$3.98	$5.01	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.31 / $10.96	Facility		$5.50	$6.31	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.72 / $7.76	Professional		$2.95	$3.72	$7.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $6.92	Facility		$3.98	$3.98	$6.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $22.91	Facility		$3.89	$3.89	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.89 / $8.71	Professional		$2.95	$3.89	$8.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.17 / $22.91	Facility		$3.89	$6.17	$22.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.80 / $10.00	Professional		$2.95	$3.80	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.37 / $7.41	Professional		$4.07	$5.37	$7.41
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.31 / $13.80	Professional		$3.89	$6.31	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $4.07 / $6.03	Facility		$2.14	$4.07	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.63 / $8.32	Professional		$2.51	$3.63	$8.32