Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.50 / $6.03	Facility		$3.98	$5.50	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $5.75	Professional		$2.00	$3.98	$5.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.07 / $8.51	Professional		$2.95	$4.07	$8.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.90 / $7.94	Facility		$3.31	$4.90	$7.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.89 / $8.91	Professional		$4.27	$5.89	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.98	Professional		$3.39	$3.39	$3.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $8.91	Facility		$3.98	$3.98	$8.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.98	Professional		$3.39	$3.39	$3.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.27 / $6.17	Professional		$3.09	$4.27	$6.17
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.41 / $13.80	Professional		$6.61	$7.41	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.02 / $4.37	Facility		$2.19	$3.02	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.09 / $4.37	Professional		$1.95	$3.09	$4.37