Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $11.22 / $17.38	Facility		$5.89	$11.22	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $14.13	Professional		$5.01	$6.03	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.76 / $13.49	Facility		$6.76	$7.76	$13.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.47 / $9.55	Professional		$3.63	$4.47	$9.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $8.51	Facility		$5.01	$5.01	$8.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $28.18	Facility		$4.79	$4.79	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.79 / $10.96	Professional		$3.80	$4.79	$10.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $7.59 / $28.18	Facility		$4.79	$7.59	$28.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.79 / $10.23	Professional		$3.80	$4.79	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.61 / $9.12	Professional		$5.01	$6.61	$9.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.76 / $16.98	Professional		$4.79	$7.76	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $5.01 / $7.41	Facility		$2.63	$5.01	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.47 / $8.91	Professional		$3.09	$4.47	$8.91