Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $15.85 / $67.61	Facility		$6.17	$15.85	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $9.77	Professional		$3.98	$3.98	$9.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $9.77 / $29.51	Facility		$4.90	$9.77	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.13 / $8.71	Professional		$4.57	$5.13	$8.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.57	Facility		$4.27	$4.27	$4.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $16.22	Professional		$4.57	$4.57	$16.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $4.90 / $39.81	Facility		$2.09	$4.90	$39.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $16.22	Professional		$4.57	$4.57	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.62 / $6.76	Professional		$4.57	$5.62	$6.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $7.08 / $9.77	Professional		$4.17	$7.08	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $6.31	Professional		$4.57	$4.57	$6.31