Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $1.67 / $2.56	Facility		$0.77	$1.67	$2.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.79 / $2.17	Professional		$0.77	$0.79	$2.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.80 / $5.01	Facility		$1.15	$1.80	$5.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $1.53	Professional		$0.77	$0.77	$1.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $0.77 / $1.31	Facility		$0.77	$0.77	$1.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $1.04	Professional		$0.77	$0.77	$1.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $0.73 / $0.77	Facility		$0.73	$0.73	$0.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $4.08	Professional		$0.77	$0.77	$4.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $0.73 / $0.77	Facility		$0.73	$0.73	$0.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $4.17	Professional		$0.77	$0.77	$4.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.09 / $1.48	Professional		$0.85	$1.09	$1.48
United Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $0.77 / $1.01	Professional		$0.77	$0.77	$1.01