Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.00 / $14.45	Facility		$5.25	$10.00	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.13 / $11.48	Professional		$3.98	$5.13	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.92 / $12.02	Facility		$5.89	$6.92	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.39 / $7.59	Professional		$2.57	$3.39	$7.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $7.41	Facility		$4.37	$4.37	$7.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $22.39	Facility		$4.27	$4.27	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.39 / $9.12	Professional		$2.95	$3.39	$9.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $6.61 / $22.39	Facility		$4.27	$6.61	$22.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.31 / $6.92	Professional		$2.95	$3.31	$6.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.37 / $7.94	Professional		$4.37	$5.37	$7.94
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Facility		$7.76	$7.76	$7.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.76 / $15.14	Professional		$4.27	$6.76	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $3.72 / $6.46	Facility		$2.34	$3.72	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.89 / $6.92	Professional		$2.75	$3.89	$6.92