Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $9.60 / $49.20	Facility		$4.00	$9.60	$49.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.20 / $4.17	Professional		$2.86	$3.20	$4.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.94 / $6.34	Facility		$3.16	$3.94	$6.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.77 / $2.80	Professional		$1.77	$1.77	$2.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.76 / $4.83	Facility		$2.69	$3.76	$4.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.58 / $5.89	Professional		$2.33	$3.58	$5.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $3.69 / $14.99	Facility		$2.33	$3.69	$14.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.35 / $6.02	Professional		$1.82	$3.35	$6.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $4.59 / $23.30	Facility		$2.33	$4.59	$23.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.87 / $4.80	Professional		$1.82	$2.87	$4.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.95 / $4.30	Professional		$2.69	$2.95	$4.30
United Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $3.58 / $3.58	Facility		$2.33	$3.58	$3.58
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.13 / $5.00	Professional		$2.15	$3.13	$5.00