Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $9.55 / $14.44	Facility		$3.75	$9.55	$14.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $6.77	Professional		$3.75	$3.75	$6.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $5.16 / $8.30	Facility		$4.13	$5.16	$8.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $2.13 / $5.05	Professional		$2.13	$2.13	$5.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $4.69 / $6.33	Facility		$3.21	$4.69	$6.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $6.10 / $6.33	Professional		$3.99	$6.10	$6.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $4.83 / $16.32	Facility		$3.05	$4.83	$16.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.46 / $6.71	Professional		$2.15	$3.46	$6.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $4.83 / $17.54	Facility		$2.81	$4.83	$17.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.84 / $5.77	Professional		$2.15	$2.84	$5.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $4.22 / $5.80	Professional		$3.52	$4.22	$5.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $2.81 / $6.14	Professional		$1.97	$2.81	$6.14