Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.17 / $6.76	Facility		$2.45	$4.17	$6.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.16	Professional		$2.00	$2.00	$3.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.89 / $8.71	Facility		$2.63	$3.89	$8.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.69 / $4.27	Professional		$2.45	$2.69	$4.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.45	Facility		$2.29	$2.29	$2.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $4.17	Professional		$2.45	$2.45	$4.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $4.17	Facility		$2.29	$2.29	$4.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $4.17	Professional		$2.45	$2.45	$4.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.02 / $3.47	Professional		$2.40	$3.02	$3.47
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $4.07 / $5.62	Professional		$2.51	$4.07	$5.62
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.45 / $2.45	Facility		$2.40	$2.45	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.45 / $2.63	Professional		$2.40	$2.45	$2.63