Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $7.08 / $11.48	Facility		$4.17	$7.08	$11.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $5.25	Professional		$3.98	$3.98	$5.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $7.76 / $21.38	Facility		$4.47	$7.76	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.68 / $7.59	Professional		$4.17	$4.68	$7.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $4.27	Facility		$3.89	$3.89	$4.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $7.08	Professional		$4.27	$4.27	$7.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $4.27	Facility		$3.89	$3.89	$4.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $7.08	Professional		$4.27	$4.27	$7.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $5.75	Professional		$3.98	$5.01	$5.75
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.92 / $9.55	Professional		$4.17	$6.92	$9.55
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.17 / $4.17	Facility		$3.31	$4.17	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.47	Professional		$4.17	$4.17	$4.47