Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $4.75 / $5.79	Facility		$4.75	$4.75	$5.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $5.09	Professional		$4.75	$4.75	$5.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $9.46 / $13.46	Facility		$8.97	$9.46	$13.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $6.99 / $17.89	Professional		$4.43	$6.99	$17.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $4.71 / $6.12	Facility		$4.71	$4.71	$6.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $6.25 / $71.00	Facility		$4.00	$6.25	$71.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $7.03 / $7.50	Professional		$6.83	$7.03	$7.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $16.98 / $68.52	Facility		$6.00	$16.98	$68.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $10.69 / $13.43	Professional		$9.06	$10.69	$13.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $8.83	Professional		$5.05	$5.05	$8.83
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $7.84 / $9.42	Professional		$6.05	$7.84	$9.42