Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $9.94 / $15.25	Facility		$3.96	$9.94	$15.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $7.15	Professional		$3.96	$3.96	$7.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.45 / $8.76	Facility		$4.37	$5.45	$8.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.33 / $4.58	Professional		$2.20	$2.33	$4.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $7.43 / $61,249.39	Facility		$4.95	$7.43	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $6.44 / $11.88	Professional		$4.21	$6.44	$11.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.46 / $6.41	Facility		$3.25	$3.46	$6.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $6.56	Professional		$2.60	$2.60	$6.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.34 / $6.34	Facility		$6.34	$6.34	$6.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $2.60	Professional		$2.60	$2.60	$2.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $2.72	Professional		$2.72	$2.72	$2.72
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $4.46	Facility		$1.78	$1.78	$4.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.97 / $6.11	Professional		$2.08	$2.97	$6.11