Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $4.37 / $7.41	Facility		$2.19	$4.37	$7.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.02	Professional		$2.00	$2.00	$3.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $4.68 / $14.45	Facility		$2.40	$4.68	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $4.17	Professional		$2.19	$2.19	$4.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.75 / $2.75	Facility		$2.04	$2.75	$2.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.75 / $3.72	Professional		$2.45	$2.75	$3.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.19	Facility		$2.04	$2.04	$2.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $7.59	Professional		$2.19	$2.19	$7.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.19 / $6.46	Facility		$2.04	$2.19	$6.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $16.22	Professional		$2.19	$2.19	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.75 / $3.89	Professional		$2.19	$2.75	$3.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.29 / $4.17	Professional		$1.51	$2.29	$4.17
United Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.68 / $1.58	Facility		$0.17	$0.68	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $2.19 / $2.88	Professional		$0.87	$2.19	$2.88