Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $3.24 / $4.79	Facility		$1.51	$3.24	$4.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.95	Professional		$1.00	$1.00	$1.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $3.16 / $10.23	Facility		$1.70	$3.16	$10.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.70 / $2.88	Professional		$1.58	$1.70	$2.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Facility		$1.62	$1.62	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $2.51	Professional		$1.62	$1.62	$2.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Facility		$1.62	$1.62	$1.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $2.51	Professional		$1.62	$1.62	$2.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.29 / $3.89	Professional		$1.66	$2.29	$3.89
United Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Facility		$1.70	$1.70	$1.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.70	Professional		$1.58	$1.58	$1.70