Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $8.88 / $14.29	Facility		$4.29	$8.88	$14.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.33 / $6.61	Professional		$4.29	$4.33	$6.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $7.36 / $12.23	Facility		$4.63	$7.36	$12.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.88 / $7.23	Professional		$4.29	$4.88	$7.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $6.48	Facility		$4.29	$4.29	$6.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $5.79	Professional		$4.29	$4.29	$5.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.29 / $7.93	Facility		$4.05	$4.29	$7.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $7.67	Professional		$4.29	$4.29	$7.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.29 / $7.93	Facility		$4.05	$4.29	$7.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $9.73	Professional		$4.29	$4.29	$9.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.96 / $4.93 / $6.44	Professional		$0.96	$4.93	$6.44
United Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Facility		$4.29	$4.29	$4.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.29 / $5.19	Professional		$4.28	$4.29	$5.19