Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $11.64 / $29.40	Facility		$4.66	$11.64	$29.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.66 / $8.41	Professional		$4.66	$4.66	$8.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $6.40 / $10.30	Facility		$5.14	$6.40	$10.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $6.00	Professional		$2.33	$2.33	$6.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $5.82 / $7.86	Facility		$3.88	$5.82	$7.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $7.57 / $7.86	Professional		$4.95	$7.57	$7.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $5.99 / $33.67	Facility		$3.78	$5.99	$33.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.78 / $8.26	Professional		$2.64	$3.78	$8.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $5.99 / $33.67	Facility		$3.78	$5.99	$33.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.01 / $5.75	Professional		$2.64	$3.01	$5.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.80 / $6.99	Professional		$4.37	$4.80	$6.99
United Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.49 / $7.62	Professional		$2.44	$3.49	$7.62