Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $3.63 / $5.50	Facility		$1.95	$3.63	$5.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.95 / $2.51	Professional		$1.00	$1.95	$2.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.63 / $12.88	Facility		$2.14	$3.63	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.14 / $3.47	Professional		$1.95	$2.14	$3.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Professional		$2.63	$2.63	$2.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $1.95	Facility		$1.86	$1.86	$1.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.82	Professional		$1.95	$1.95	$2.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $1.95	Facility		$1.86	$1.86	$1.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.82	Professional		$1.95	$1.95	$2.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.45 / $2.82	Professional		$1.95	$2.45	$2.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.31 / $4.57	Professional		$1.95	$3.31	$4.57
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.95 / $2.09	Professional		$1.91	$1.95	$2.09