Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.49 / $19.95	Facility		$7.08	$13.49	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $18.20	Professional		$6.03	$7.08	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.33 / $16.22	Facility		$8.13	$9.33	$16.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.13 / $11.22	Professional		$4.07	$5.13	$11.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $10.00	Facility		$5.89	$5.89	$10.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $31.62	Facility		$5.75	$5.75	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.37 / $12.30	Professional		$4.17	$5.37	$12.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $9.12 / $31.62	Facility		$5.75	$9.12	$31.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.37 / $11.48	Professional		$4.17	$5.37	$11.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.24 / $10.96	Professional		$5.89	$7.24	$10.96
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.33 / $20.42	Professional		$5.75	$9.33	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.75 / $8.71	Facility		$3.16	$5.75	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.25 / $11.48	Professional		$3.72	$5.25	$11.48