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 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.04 / $3.09	Facility		$1.95	$2.04	$3.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.00 / $3.24	Professional		$1.58	$2.00	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.66	Professional		$1.17	$1.17	$1.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.66 / $1.66	Professional		$1.17	$1.66	$1.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.57 / $3.39	Professional		$2.04	$2.57	$3.39
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Facility		$3.31	$3.31	$3.31
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.09 / $5.50	Professional		$2.34	$3.09	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.00 / $2.00	Facility		$1.58	$2.00	$2.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $2.40 / $3.98	Professional		$0.74	$2.40	$3.98