Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $104.71 / $204.17	Facility		$1.00	$104.71	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $120.23 / $204.17	Professional		$1.00	$120.23	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.78 / $2.34	Facility		$0.39	$0.78	$2.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.40 / $0.68	Professional		$0.36	$0.40	$0.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $0.36	Facility		$0.36	$0.36	$0.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.49 / $0.49	Professional		$0.49	$0.49	$0.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $0.36	Facility		$0.34	$0.34	$0.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.60	Professional		$0.36	$0.36	$0.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.36 / $0.68	Facility		$0.34	$0.36	$0.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.60	Professional		$0.36	$0.36	$0.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.45 / $0.52	Professional		$0.36	$0.45	$0.52
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.60 / $0.83	Professional		$0.36	$0.60	$0.83
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.39	Professional		$0.36	$0.36	$0.39