Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $2.63 / $3.89	Facility		$1.41	$2.63	$3.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.04	Professional		$1.00	$1.00	$2.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $3.02 / $9.12	Facility		$1.51	$3.02	$9.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.58 / $2.69	Professional		$1.41	$1.58	$2.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Facility		$1.41	$1.41	$1.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $1.91	Professional		$1.91	$1.91	$1.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.41	Facility		$1.32	$1.32	$1.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $3.55	Professional		$1.41	$1.41	$3.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.41	Facility		$1.32	$1.32	$1.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $3.55	Professional		$1.41	$1.41	$3.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.78 / $2.04	Professional		$1.41	$1.78	$2.04
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $2.19 / $3.02	Professional		$1.29	$2.19	$3.02
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.58 / $1.74	Professional		$1.41	$1.58	$1.74