Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $45.00	Facility		$2.50	$2.50	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.26 / $0.42	Professional		$0.20	$0.26	$0.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $0.49 / $0.59	Facility		$0.49	$0.49	$0.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00