Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $3.15 / $7.00	Facility		$1.15	$3.15	$7.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.15 / $3.22	Professional		$1.15	$1.15	$3.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.83 / $7.87	Facility		$1.82	$2.83	$7.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.66 / $1.75	Professional		$0.55	$0.66	$1.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $4.37	Facility		$2.65	$2.65	$4.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $2.00	Professional		$1.23	$1.23	$2.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $2.39	Professional		$1.23	$1.23	$2.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.68 / $0.79	Professional		$0.60	$0.68	$0.79
United Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.58	Professional		$1.21	$1.21	$1.58