Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.96 / $30.20	Facility		$10.00	$10.96	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $13.18	Professional		$10.00	$10.00	$13.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.05 / $52.48	Facility		$10.96	$19.05	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $19.05	Professional		$10.00	$11.48	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $10.00	Facility		$9.55	$9.55	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $21.88	Professional		$10.00	$10.00	$21.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $10.00	Facility		$9.55	$9.55	$10.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $21.88	Professional		$10.00	$10.00	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $14.79	Professional		$10.00	$12.59	$14.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.78 / $24.55	Professional		$10.47	$17.78	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.23	Facility		$10.00	$10.00	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.96	Professional		$10.00	$10.00	$10.96