Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.37 / $2.10	Facility		$0.63	$1.37	$2.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.64 / $1.72	Professional		$0.62	$0.64	$1.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.47 / $4.09	Facility		$0.95	$1.47	$4.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $1.25	Professional		$0.63	$0.63	$1.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $1.07	Facility		$0.63	$0.63	$1.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.85	Professional		$0.63	$0.63	$0.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.60 / $0.63	Facility		$0.60	$0.60	$0.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $2.50	Professional		$0.63	$0.63	$2.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $2.50	Professional		$0.63	$0.63	$2.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.78 / $0.89	Professional		$0.68	$0.78	$0.89
United Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Facility		$0.63	$0.63	$0.63
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.82	Professional		$0.63	$0.63	$0.82