Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $3.42 / $7.99	Facility		$1.23	$3.42	$7.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $3.42	Professional		$1.23	$1.23	$3.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.08 / $3.43	Professional		$2.00	$2.08	$3.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $1.18 / $1.95	Facility		$1.18	$1.18	$1.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.18 / $1.18	Professional		$1.18	$1.18	$1.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Facility		$2.08	$2.08	$2.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $3.21	Professional		$2.08	$2.08	$3.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $3.21	Professional		$2.08	$2.08	$3.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.67 / $3.10	Professional		$2.35	$2.67	$3.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.12	Professional		$2.40	$2.40	$3.12