Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $29.09 / $186.00	Facility		$0.25	$29.09	$186.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.61	Professional		$0.22	$0.22	$0.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.51 / $1.43	Facility		$0.33	$0.51	$1.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.90 / $1.31	Professional		$0.43	$0.90	$1.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.22 / $2.06	Facility		$1.22	$1.22	$2.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.90 / $1.22	Professional		$0.23	$0.90	$1.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Facility		$0.23	$0.23	$0.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.36	Professional		$0.23	$0.23	$0.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.67 / $2.25	Facility		$0.23	$0.67	$2.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.36	Professional		$0.23	$0.23	$0.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $1.12 / $1.30	Professional		$0.99	$1.12	$1.30
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.28	Professional		$0.22	$0.22	$0.28