Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $7.76 / $12.49	Facility		$3.00	$7.76	$12.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $8.34	Professional		$3.00	$3.00	$8.34
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 $2.85 / $3.13 / $4.51	Professional		$2.85	$3.13	$4.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $3.40	Facility		$2.06	$2.06	$3.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $2.85	Facility		$2.85	$2.85	$2.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $5.01	Professional		$2.85	$2.85	$5.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $2.85	Facility		$2.85	$2.85	$2.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $5.01	Professional		$2.85	$2.85	$5.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.56 / $4.13	Professional		$3.13	$3.56	$4.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $4.91	Professional		$3.75	$3.75	$4.91