Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $16.22 / $23.44	Facility		$7.59	$16.22	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.76 / $9.77	Professional		$7.08	$7.76	$9.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.27 / $6.31	Professional		$3.80	$4.27	$6.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.13	Professional		$3.80	$3.80	$5.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.13	Professional		$3.80	$3.80	$5.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $4.57	Professional		$3.80	$3.80	$4.57