Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $6.92 / $10.00	Facility		$3.55	$6.92	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.55 / $7.59	Professional		$3.02	$3.55	$7.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.68 / $8.32	Facility		$4.07	$4.68	$8.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.29 / $5.37	Professional		$1.78	$2.29	$5.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $5.13	Facility		$2.95	$2.95	$5.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $15.14	Facility		$2.88	$2.88	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.29 / $6.31	Professional		$2.00	$2.29	$6.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $4.57 / $15.14	Facility		$2.88	$4.57	$15.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.19 / $4.57	Professional		$2.00	$2.19	$4.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $5.50	Professional		$3.02	$3.98	$5.50
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.68 / $10.47	Professional		$2.88	$4.68	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.45 / $4.47	Facility		$1.62	$2.45	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.69 / $4.57	Professional		$1.86	$2.69	$4.57