Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $6.92 / $11.22	Facility		$4.07	$6.92	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $5.37	Professional		$3.98	$3.98	$5.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $7.59 / $20.89	Facility		$4.37	$7.59	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.47 / $7.41	Professional		$4.07	$4.47	$7.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $4.07	Facility		$3.80	$3.80	$4.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $6.92	Professional		$4.07	$4.07	$6.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $4.07	Facility		$3.80	$3.80	$4.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $6.92	Professional		$4.07	$4.07	$6.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.01 / $5.89	Professional		$4.07	$5.01	$5.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.92 / $9.55	Professional		$4.27	$6.92	$9.55
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.07 / $4.37	Professional		$3.98	$4.07	$4.37