Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $4.47 / $7.41	Facility		$2.63	$4.47	$7.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.47	Professional		$2.00	$2.00	$3.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $4.27 / $9.55	Facility		$2.88	$4.27	$9.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.95 / $4.68	Professional		$2.63	$2.95	$4.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.63	Facility		$2.51	$2.51	$2.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $4.47	Professional		$2.63	$2.63	$4.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.63	Facility		$2.51	$2.51	$2.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $4.47	Professional		$2.63	$2.63	$4.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.31 / $3.80	Professional		$2.63	$3.31	$3.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.47 / $6.17	Professional		$2.82	$4.47	$6.17
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.82	Professional		$2.63	$2.63	$2.82