Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.62 / $8.91	Facility		$3.16	$5.62	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $6.03	Professional		$3.02	$3.02	$6.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.17 / $7.24	Facility		$3.63	$4.17	$7.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.34 / $5.13	Professional		$1.82	$2.34	$5.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $4.57	Facility		$2.75	$2.75	$4.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $13.80	Facility		$2.57	$2.57	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.34 / $5.62	Professional		$1.82	$2.34	$5.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $4.07 / $13.80	Facility		$2.57	$4.07	$13.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.34 / $6.17	Professional		$1.82	$2.34	$6.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.31 / $4.90	Professional		$2.69	$3.31	$4.90
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.17 / $9.33	Professional		$2.57	$4.17	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $2.57 / $3.98	Facility		$1.45	$2.57	$3.98
United Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $2.14 / $4.79	Professional		$1.38	$2.14	$4.79