Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Facility		$1.00	$1.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.95 / $4.17	Professional		$1.00	$1.95	$4.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.52 / $1.15	Professional		$0.42	$0.52	$1.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.10 / $1.23	Facility		$0.95	$1.10	$1.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.29	Professional		$1.23	$1.23	$1.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.49 / $0.49	Professional		$0.49	$0.49	$0.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Facility		$1.29	$1.29	$1.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.49 / $0.49	Professional		$0.49	$0.49	$0.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.68 / $32.36	Professional		$0.54	$0.68	$32.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.07 / $2.24	Professional		$0.98	$1.07	$2.24
United Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.44 / $0.56	Professional		$0.27	$0.44	$0.56