Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $6.45 / $27.01	Facility		$3.63	$6.45	$27.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.67 / $11.50	Professional		$3.62	$3.67	$11.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $6.44 / $10.82	Facility		$3.66	$6.44	$10.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $6.12	Professional		$3.63	$3.63	$6.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $6.17	Facility		$3.63	$3.63	$6.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.90	Professional		$3.63	$3.63	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $3.63	Facility		$3.43	$3.43	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $37.36	Professional		$3.63	$3.63	$37.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $37.36	Professional		$3.63	$3.63	$37.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $7.01 / $11.80	Professional		$4.53	$7.01	$11.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.73	Professional		$3.63	$3.63	$4.73