Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $8.72 / $13.39	Facility		$4.01	$8.72	$13.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.05 / $9.14	Professional		$4.01	$4.05	$9.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $7.02 / $11.54	Facility		$4.34	$7.02	$11.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $6.96	Professional		$4.01	$4.01	$6.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $6.83	Facility		$4.01	$4.01	$6.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $5.43	Professional		$4.01	$4.01	$5.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $4.09	Facility		$3.79	$3.79	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $7.00	Professional		$4.09	$4.09	$7.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $7.00	Professional		$4.09	$4.09	$7.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $5.02 / $5.81	Professional		$4.41	$5.02	$5.81
United Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Facility		$4.01	$4.01	$4.01
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $5.00	Professional		$4.01	$4.01	$5.00