Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.23 / $15.14	Facility		$5.37	$10.23	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.01 / $12.02	Professional		$4.90	$5.01	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.08 / $12.30	Facility		$6.17	$7.08	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.39 / $8.51	Professional		$2.69	$3.39	$8.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $7.76	Facility		$4.47	$4.47	$7.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $22.91	Facility		$4.37	$4.37	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.72 / $9.77	Professional		$3.16	$3.72	$9.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $6.92 / $22.91	Facility		$4.37	$6.92	$22.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.63 / $7.59	Professional		$3.16	$3.63	$7.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.50 / $8.32	Professional		$4.57	$5.50	$8.32
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.08 / $15.49	Professional		$4.37	$7.08	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $4.07 / $6.76	Facility		$2.40	$4.07	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.07 / $7.59	Professional		$2.82	$4.07	$7.59