Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.50 / $8.91	Facility		$2.88	$5.50	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $11.75	Professional		$2.00	$3.02	$11.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.80 / $6.61	Facility		$3.31	$3.80	$6.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.24 / $8.91	Professional		$1.78	$2.24	$8.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $4.07	Facility		$2.40	$2.40	$4.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $14.45	Facility		$2.34	$2.34	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $4.57 / $14.79	Professional		$1.82	$4.57	$14.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $3.72 / $22.91	Facility		$2.34	$3.72	$22.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $6.31 / $14.79	Professional		$1.82	$6.31	$14.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.95 / $4.47	Professional		$1.95	$2.95	$4.47
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.80 / $8.32	Professional		$2.34	$3.80	$8.32
United Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $2.45 / $10.96	Facility		$1.29	$2.45	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $3.24 / $13.49	Professional		$1.51	$3.24	$13.49