Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.15 / $6.93	Facility		$4.15	$4.15	$6.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $4.15 / $5.18	Professional		$3.05	$4.15	$5.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $3.76 / $8.61	Professional		$2.90	$3.76	$8.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $7.86 / $9.69	Facility		$6.53	$7.86	$9.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $8.49 / $13.98	Professional		$7.18	$8.49	$13.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $7.68	Facility		$7.68	$7.68	$7.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $2.06 / $2.39	Professional		$1.65	$2.06	$2.39
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.26 / $4.73	Professional		$2.17	$3.26	$4.73