Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.47 / $2,884.03	Facility		$5.25	$10.47	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $8.51	Professional		$5.01	$5.01	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $9.77 / $33.88	Facility		$5.62	$9.77	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.61 / $10.47	Professional		$5.25	$6.61	$10.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.25	Facility		$5.01	$5.01	$5.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $8.71	Professional		$5.25	$5.25	$8.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.25 / $9.12	Facility		$5.01	$5.25	$9.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $8.71	Professional		$5.25	$5.25	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.61 / $7.76	Professional		$5.25	$6.61	$7.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.91 / $12.30	Professional		$5.25	$8.91	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.62	Facility		$5.25	$5.25	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.62	Professional		$5.25	$5.25	$5.62