Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $7.76 / $11.48	Facility		$3.63	$7.76	$11.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.68	Professional		$3.02	$3.02	$4.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $8.13 / $24.55	Facility		$4.07	$8.13	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.47 / $7.08	Professional		$3.98	$4.47	$7.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $85.11	Facility		$3.89	$3.89	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.57	Professional		$3.89	$3.89	$4.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.98 / $85.11	Facility		$3.89	$3.98	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.57	Professional		$3.89	$3.89	$4.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.37 / $5.89	Professional		$3.98	$4.37	$5.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.01 / $9.33	Professional		$4.27	$5.01	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.80 / $4.27	Professional		$3.63	$3.80	$4.27