Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.95 / $2.00	Facility		$1.00	$1.95	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.07 / $6.31	Professional		$3.63	$4.07	$6.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Professional		$1.38	$1.38	$1.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Professional		$1.38	$1.38	$1.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.20 / $2.00	Professional		$0.79	$1.20	$2.00