Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.24 / $8.91	Facility		$5.01	$7.24	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $7.59	Professional		$3.02	$5.01	$7.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.25 / $11.22	Professional		$4.37	$5.25	$11.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $7.59 / $10.47	Facility		$4.37	$7.59	$10.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.76 / $11.75	Professional		$5.62	$7.76	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.62	Professional		$4.79	$4.79	$5.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $11.75	Facility		$5.62	$5.62	$11.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.62	Professional		$4.79	$4.79	$5.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.59 / $10.96	Professional		$4.90	$7.59	$10.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $18.20	Professional		$8.91	$10.00	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.63 / $5.50	Facility		$3.09	$3.63	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.07 / $5.50	Professional		$2.82	$4.07	$5.50