Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.51 / $10.00	Facility		$6.03	$8.51	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $8.91	Professional		$3.98	$6.03	$8.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.13 / $12.02	Professional		$4.37	$5.13	$12.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $11.75 / $13.18	Facility		$10.23	$11.75	$13.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.80	Professional		$13.18	$13.18	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.08 / $9.77	Professional		$5.89	$7.08	$9.77
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.48 / $23.99	Professional		$10.47	$11.48	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.79 / $6.46	Professional		$2.88	$4.79	$6.46