Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $5.01	Professional		$3.02	$3.98	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.59 / $10.72	Facility		$7.08	$7.59	$10.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.62 / $12.02	Professional		$5.13	$5.62	$12.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.94 / $7.94	Professional		$7.41	$7.94	$7.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $3.39 / $6.31	Facility		$0.40	$3.39	$6.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $4.07 / $6.17	Professional		$0.51	$4.07	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $5.50	Facility		$4.17	$4.17	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $6.61	Professional		$3.55	$3.55	$6.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $6.61	Facility		$4.17	$4.17	$6.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.17 / $5.50	Professional		$3.55	$4.17	$5.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $15.85	Professional		$7.94	$10.00	$15.85
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.59 / $12.88	Professional		$6.46	$7.59	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $2.82 / $4.68	Facility		$0.38	$2.82	$4.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.63 / $5.62	Professional		$2.34	$3.63	$5.62