Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $9.12 / $14.79	Facility		$5.37	$9.12	$14.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $6.92	Professional		$5.01	$5.01	$6.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $8.51 / $19.05	Facility		$5.75	$8.51	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.89 / $9.33	Professional		$5.37	$5.89	$9.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.37	Facility		$5.01	$5.01	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $8.32	Professional		$5.37	$5.37	$8.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.37	Facility		$5.01	$5.01	$5.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $8.32	Professional		$5.37	$5.37	$8.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.61 / $7.76	Professional		$5.37	$6.61	$7.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.91 / $12.30	Professional		$5.62	$8.91	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.75	Professional		$5.37	$5.37	$5.75