Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.42 / $2.42 / $2.42	Facility		$2.42	$2.42	$2.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.83 / $2.50	Professional		$1.45	$1.83	$2.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $12.93 / $19.25	Professional		$4.25	$12.93	$19.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $2.83 / $3.50	Facility		$2.36	$2.83	$3.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $3.19 / $5.47	Professional		$2.36	$3.19	$5.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $3.64	Facility		$3.64	$3.64	$3.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.53 / $3.53	Professional		$3.53	$3.53	$3.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $3.64	Facility		$3.64	$3.64	$3.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.53 / $3.53	Professional		$3.53	$3.53	$3.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.33 / $18.97	Professional		$9.55	$14.33	$18.97
United Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.58 / $2.54	Professional		$1.06	$1.58	$2.54