Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.11 / $0.33	Facility		$0.05	$0.11	$0.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.09	Professional		$0.05	$0.05	$0.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $0.07 / $0.07	Professional		$0.07	$0.07	$0.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.14	Professional		$0.05	$0.05	$0.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.14	Professional		$0.05	$0.05	$0.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $0.07	Professional		$0.05	$0.06	$0.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $0.12	Professional		$0.05	$0.08	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05