Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $8.75	Facility		$0.02	$0.02	$8.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.07 / $0.20	Facility		$0.03	$0.07	$0.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $1.78 / $2.84	Professional		$0.05	$1.78	$2.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.04 / $0.04	Facility		$0.03	$0.04	$0.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.07 / $85.00	Facility		$0.03	$0.07	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04