Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.75 / $9.33	Facility		$3.31	$5.75	$9.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.37	Professional		$3.02	$3.02	$4.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $6.17 / $21.88	Facility		$3.63	$6.17	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.72 / $6.03	Professional		$3.31	$3.72	$6.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Facility		$3.39	$3.39	$3.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.31	Facility		$3.16	$3.16	$3.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $5.62	Professional		$3.31	$3.31	$5.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.31	Facility		$3.16	$3.16	$3.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $5.62	Professional		$3.31	$3.31	$5.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.17 / $4.79	Professional		$3.31	$4.17	$4.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.62 / $7.76	Professional		$3.31	$5.62	$7.76
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $3.39	Facility		$3.31	$3.31	$3.39
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.63	Professional		$3.31	$3.31	$3.63