Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $9.55 / $28.80	Facility		$3.15	$9.55	$28.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.55 / $10.61	Professional		$2.48	$3.55	$10.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $4.33 / $6.97	Facility		$3.48	$4.33	$6.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $4.25	Professional		$1.95	$1.95	$4.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.94 / $5.32	Facility		$2.63	$3.94	$5.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $5.12 / $5.32	Professional		$3.35	$5.12	$5.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $4.05 / $25.38	Facility		$2.56	$4.05	$25.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $3.17 / $5.74	Professional		$1.98	$3.17	$5.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $4.05 / $25.38	Facility		$2.56	$4.05	$25.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.52 / $5.29	Professional		$1.98	$2.52	$5.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.55 / $4.88	Professional		$2.96	$3.55	$4.88
United Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.36 / $5.51	Professional		$1.65	$2.36	$5.51