Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $8.51 / $13.49	Facility		$4.79	$8.51	$13.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $9.12	Professional		$3.98	$5.01	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.31 / $11.22	Facility		$5.50	$6.31	$11.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.24 / $7.24	Professional		$2.45	$3.24	$7.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $6.92	Facility		$4.07	$4.07	$6.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $20.42	Facility		$3.89	$3.89	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.31 / $8.71	Professional		$2.82	$3.31	$8.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.17 / $20.42	Facility		$3.89	$6.17	$20.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.16 / $6.92	Professional		$2.82	$3.16	$6.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.50 / $7.41	Professional		$4.07	$5.50	$7.41
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.31 / $14.13	Professional		$3.89	$6.31	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.80 / $6.03	Facility		$2.19	$3.80	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $3.02 / $7.08	Professional		$1.74	$3.02	$7.08