Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.09 / $19.00	Facility		$1.09	$1.09	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.49	Professional		$1.09	$1.09	$1.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.57 / $2.52	Facility		$1.34	$1.57	$2.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.28 / $2.14	Professional		$1.25	$1.28	$2.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.18 / $1.95	Facility		$1.18	$1.18	$1.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $1.54	Professional		$1.54	$1.54	$1.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Professional		$2.47	$2.47	$2.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $87.45 / $87.45	Facility		$87.45	$87.45	$87.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.47 / $2.65	Professional		$2.04	$2.47	$2.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.97 / $3.91	Professional		$2.70	$2.97	$3.91
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $1.67 / $2.64	Professional		$0.56	$1.67	$2.64