Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $4.07 / $6.92	Facility		$2.04	$4.07	$6.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $4.37	Professional		$2.00	$2.00	$4.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.80 / $10.47	Facility		$2.19	$3.80	$10.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.29 / $3.63	Professional		$2.04	$2.29	$3.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Facility		$1.86	$1.86	$1.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.51	Professional		$1.86	$1.86	$2.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.82	Facility		$1.95	$1.95	$2.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $3.47	Professional		$2.04	$2.04	$3.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.04 / $85.11	Facility		$1.82	$2.04	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $4.47	Professional		$2.04	$2.04	$4.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.24 / $2.88	Professional		$1.86	$2.24	$2.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.63 / $5.01	Professional		$2.14	$2.63	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.04 / $2.04	Facility		$1.86	$2.04	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $2.04 / $2.29	Professional		$1.32	$2.04	$2.29