Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.96 / $19.50	Facility		$5.01	$10.96	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $8.32	Professional		$5.01	$5.01	$8.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.02 / $36.31	Facility		$6.03	$12.02	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.03 / $9.77	Professional		$5.50	$6.03	$9.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.50	Facility		$5.25	$5.25	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $13.49	Professional		$5.50	$5.50	$13.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $5.50	Facility		$5.25	$5.25	$5.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $13.49	Professional		$5.50	$5.50	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.08 / $8.91	Professional		$5.50	$7.08	$8.91
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.23 / $14.13	Professional		$6.17	$10.23	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.50 / $6.03	Professional		$5.37	$5.50	$6.03