Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $4.13 / $6.19	Facility		$2.06	$4.13	$6.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.15 / $1,890.00	Professional		$2.00	$2.15	$1,890.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.62 / $5.94	Facility		$2.24	$3.62	$5.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $3.49	Professional		$2.06	$2.06	$3.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $3.52	Facility		$2.06	$2.06	$3.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.79	Professional		$2.06	$2.06	$2.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.06	Facility		$1.95	$1.95	$2.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $4.04	Professional		$2.06	$2.06	$4.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $3.27 / $3.27	Facility		$3.27	$3.27	$3.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $4.04	Professional		$2.06	$2.06	$4.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.58 / $2.92	Professional		$2.22	$2.58	$2.92
United Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Facility		$2.06	$2.06	$2.06
United Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.70	Professional		$2.06	$2.06	$2.70