Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.14 / $3.98	Professional		$1.26	$2.14	$3.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.00 / $3.09	Professional		$1.74	$2.00	$3.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.86 / $3.02	Facility		$1.26	$1.86	$3.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $2.24	Professional		$1.62	$1.62	$2.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.69 / $50.12	Professional		$1.48	$2.69	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86