Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $8.71 / $13.18	Facility		$4.79	$8.71	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.59	Professional		$3.98	$3.98	$7.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $8.91 / $30.90	Facility		$5.13	$8.91	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.37 / $9.12	Professional		$4.79	$5.37	$9.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.79	Facility		$4.47	$4.47	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $25.70	Professional		$4.79	$4.79	$25.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.79	Facility		$4.47	$4.47	$4.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $25.70	Professional		$4.79	$4.79	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.31 / $8.13	Professional		$4.79	$6.31	$8.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $6.17 / $8.51	Professional		$3.72	$6.17	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $5.75	Facility		$4.79	$4.79	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.31	Professional		$4.79	$4.79	$6.31