Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $0.64 / $7.00	Facility		$0.64	$0.64	$7.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.64 / $1.71	Professional		$0.64	$0.64	$1.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $0.92 / $1.47	Facility		$0.78	$0.92	$1.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.65 / $1.85	Professional		$0.62	$0.65	$1.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $0.88 / $1.45	Facility		$0.88	$0.88	$1.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $5.92	Professional		$5.92	$5.92	$5.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $5.92 / $5.92	Professional		$1.02	$5.92	$5.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.65 / $28.00	Professional		$1.00	$1.65	$28.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.92 / $1.50	Professional		$0.34	$0.92	$1.50