Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $9.77 / $15.60	Facility		$4.50	$9.77	$15.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5.61 / $25.14	Professional		$4.50	$5.61	$25.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $10.53 / $29.25	Facility		$6.75	$10.53	$29.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $8.55	Professional		$4.50	$4.50	$8.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $4.50 / $7.65	Facility		$4.50	$4.50	$7.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $6.08	Professional		$4.50	$4.50	$6.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $4.50	Facility		$4.24	$4.24	$4.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $15.86	Professional		$4.50	$4.50	$15.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $4.50	Facility		$4.24	$4.24	$4.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $15.86	Professional		$4.50	$4.50	$15.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.86 / $8.73	Professional		$5.62	$6.86	$8.73
United Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.50 / $6.32	Professional		$4.49	$4.50	$6.32