Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $9.55 / $29.51	Facility		$3.89	$9.55	$29.51
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 $3.98 / $4.57 / $7.94	Facility		$3.98	$4.57	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.57 / $5.50	Professional		$2.09	$2.57	$5.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $5.01	Facility		$3.31	$3.31	$5.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $9.12	Facility		$2.82	$2.82	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.82 / $8.32	Professional		$2.14	$2.82	$8.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $4.47 / $9.55	Facility		$2.82	$4.47	$9.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.82 / $7.08	Professional		$2.14	$2.82	$7.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.89 / $5.37	Professional		$2.88	$3.89	$5.37
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.57 / $10.00	Professional		$2.82	$4.57	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $2.95 / $4.27	Facility		$1.55	$2.95	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.57 / $6.03	Professional		$1.82	$2.57	$6.03