Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $12.30	Professional		$6.03	$6.03	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.75 / $12.88	Professional		$4.57	$5.75	$12.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $39.81	Facility		$16.98	$16.98	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $8.51 / $18.62	Professional		$4.17	$8.51	$18.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $8.32 / $18.62	Professional		$4.17	$8.32	$18.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $6.61 / $7.76	Professional		$3.31	$6.61	$7.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.77 / $18.62	Professional		$6.76	$9.77	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.94 / $13.49	Professional		$4.79	$7.94	$13.49