Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $8.16 / $12.52	Facility		$3.01	$8.16	$12.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.01 / $8.36	Professional		$3.01	$3.01	$8.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $7.32 / $20.35	Facility		$4.70	$7.32	$20.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.32 / $5.59	Professional		$3.32	$3.32	$5.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $4.48 / $7.62	Facility		$4.48	$4.48	$7.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.32 / $4.48	Professional		$3.32	$3.32	$4.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Facility		$3.20	$3.20	$3.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $5.03	Professional		$3.20	$3.20	$5.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Facility		$3.20	$3.20	$3.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $5.03	Professional		$3.20	$3.20	$5.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.15 / $4.81	Professional		$3.65	$4.15	$4.81
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.39	Professional		$3.13	$3.13	$3.39