Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $7.24 / $13.18	Facility		$3.89	$7.24	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $8.32	Professional		$3.02	$3.89	$8.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $7.24 / $25.12	Facility		$4.17	$7.24	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.27 / $7.41	Professional		$3.89	$4.27	$7.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.89	Facility		$3.63	$3.63	$3.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $22.91	Professional		$3.89	$3.89	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $4.37	Facility		$3.63	$3.63	$4.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $22.91	Professional		$3.89	$3.89	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.79 / $5.62	Professional		$3.89	$4.79	$5.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.31 / $8.71	Professional		$3.80	$6.31	$8.71
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.17	Professional		$3.89	$3.89	$4.17