Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $25.00	Facility		$5.00	$5.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.90	Professional		$5.00	$5.00	$5.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $7.19 / $11.56	Facility		$6.13	$7.19	$11.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.90 / $8.42	Professional		$2.61	$2.90	$8.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $8.76	Facility		$7.41	$7.41	$8.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $5.50 / $5.50	Professional		$4.83	$5.50	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $6.74 / $6.74	Facility		$5.39	$6.74	$6.74
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $5.07 / $8.61	Professional		$2.24	$5.07	$8.61