Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $9.55 / $14.65	Facility		$4.40	$9.55	$14.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.68 / $13.01	Professional		$4.40	$4.68	$13.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $10.30 / $28.60	Facility		$6.60	$10.30	$28.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $8.77	Professional		$4.40	$4.40	$8.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $7.48	Facility		$4.40	$4.40	$7.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $5.94	Professional		$4.40	$4.40	$5.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.15 / $4.40	Facility		$4.15	$4.15	$4.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $35.68	Professional		$4.40	$4.40	$35.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.15 / $4.40	Facility		$4.15	$4.15	$4.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $35.68	Professional		$4.40	$4.40	$35.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $5.85 / $6.68	Professional		$5.07	$5.85	$6.68
United Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $6.12	Professional		$4.40	$4.40	$6.12