Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $1.66 / $2.66	Facility		$0.64	$1.66	$2.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.64 / $1.78	Professional		$0.64	$0.64	$1.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1.54 / $4.29	Facility		$0.99	$1.54	$4.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $21.61 / $32.00	Professional		$0.66	$21.61	$32.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.49	Facility		$0.28	$0.28	$0.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Facility		$0.68	$0.68	$0.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $1.07	Professional		$0.68	$0.68	$1.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $1.07	Professional		$0.68	$0.68	$1.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $1.10 / $1.16	Professional		$0.77	$1.10	$1.16
United Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.72	Professional		$0.66	$0.66	$0.72