Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.26 / $1.55	Facility		$1.12	$1.26	$1.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.29 / $1.91	Professional		$1.23	$1.29	$1.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $1.20 / $3.63	Facility		$0.60	$1.20	$3.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.63 / $1.12	Professional		$0.56	$0.63	$1.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.39 / $0.39	Facility		$0.39	$0.39	$0.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Professional		$0.52	$0.52	$0.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $0.56	Facility		$0.52	$0.52	$0.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.68	Professional		$0.56	$0.56	$0.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $0.56	Facility		$0.52	$0.52	$0.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $1.02	Professional		$0.56	$0.56	$1.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.56 / $0.78	Professional		$0.39	$0.56	$0.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.95 / $1.32	Professional		$0.56	$0.95	$1.32
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.72	Professional		$0.56	$0.56	$0.72