Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.72 / $15.49	Facility		$5.25	$10.72	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $10.96	Professional		$3.98	$6.03	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.76 / $12.02	Facility		$5.89	$6.76	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.07 / $8.32	Professional		$3.16	$4.07	$8.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $7.41	Facility		$4.27	$4.27	$7.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $24.55	Facility		$4.17	$4.17	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.27 / $9.33	Professional		$3.31	$4.27	$9.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $6.61 / $24.55	Facility		$4.17	$6.61	$24.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.17 / $8.91	Professional		$3.31	$4.17	$8.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.37 / $7.94	Professional		$4.37	$5.37	$7.94
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Facility		$7.76	$7.76	$7.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.76 / $15.14	Professional		$4.17	$6.76	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $4.47 / $6.46	Facility		$2.34	$4.47	$6.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.89 / $7.76	Professional		$2.69	$3.89	$7.76