Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $8.80 / $14.15	Facility		$3.40	$8.80	$14.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $9.44	Professional		$3.40	$3.40	$9.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $6.32	Professional		$3.75	$3.75	$6.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $4.78	Facility		$3.54	$3.54	$4.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Facility		$3.75	$3.75	$3.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $5.01	Professional		$3.75	$3.75	$5.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Facility		$3.75	$3.75	$3.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $5.01	Professional		$3.75	$3.75	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $4.91	Professional		$3.75	$3.75	$4.91