Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $0.43 / $1.00	Facility		$0.16	$0.43	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.44	Professional		$0.16	$0.16	$0.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.40 / $1.11	Facility		$0.26	$0.40	$1.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.22	Professional		$0.02	$0.02	$0.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $59,702.01	Facility		$0.17	$0.17	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $0.17	Facility		$0.17	$0.17	$0.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.20	Professional		$0.17	$0.17	$0.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $0.17	Facility		$0.17	$0.17	$0.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.20	Professional		$0.17	$0.17	$0.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $50.00	Professional		$40.00	$50.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.19	Professional		$0.17	$0.17	$0.19