Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $10.00	Facility		$6.03	$6.03	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $8.91	Professional		$3.98	$6.03	$8.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.25 / $11.48	Professional		$4.07	$5.25	$11.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.22 / $12.88	Facility		$9.77	$11.22	$12.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.18	Professional		$12.88	$12.88	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.24 / $8.71	Professional		$2.69	$3.24	$8.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $23.44	Professional		$10.00	$11.75	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.68 / $6.03	Professional		$2.75	$4.68	$6.03