Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.00 / $12.88	Professional		$5.01	$10.00	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.08 / $16.22	Professional		$5.25	$7.08	$16.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.95	Professional		$19.50	$19.50	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $21.88	Professional		$8.32	$12.88	$21.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $20.89	Professional		$10.72	$12.88	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.17 / $8.91	Professional		$4.07	$6.17	$8.91