Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.23 / $0.36	Professional		$0.21	$0.23	$0.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Facility		$0.21	$0.21	$0.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.33	Professional		$0.21	$0.21	$0.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Facility		$0.21	$0.21	$0.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.33	Professional		$0.21	$0.21	$0.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.25 / $0.27	Professional		$0.25	$0.25	$0.27