Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $7.41 / $12.02	Facility		$3.89	$7.41	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $10.00	Professional		$3.02	$3.98	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.13 / $8.91	Facility		$4.47	$5.13	$8.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.82 / $6.17	Professional		$2.24	$2.82	$6.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $5.50	Facility		$3.31	$3.31	$5.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $19.95	Facility		$3.16	$3.16	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.82 / $7.24	Professional		$2.29	$2.82	$7.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.01 / $19.95	Facility		$3.16	$5.01	$19.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.82 / $6.31	Professional		$2.29	$2.82	$6.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.98 / $6.03	Professional		$3.24	$3.98	$6.03
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $5.01 / $11.22	Professional		$3.16	$5.01	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $3.16 / $4.79	Facility		$1.74	$3.16	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.88 / $5.75	Professional		$2.04	$2.88	$5.75