Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $2.63 / $4.27	Facility		$1.55	$2.63	$4.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.04	Professional		$1.00	$1.00	$2.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.51 / $5.50	Facility		$1.66	$2.51	$5.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.74 / $2.69	Professional		$1.55	$1.74	$2.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $1.55	Facility		$1.55	$1.55	$1.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $2.09	Professional		$2.09	$2.09	$2.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $1.55	Facility		$1.45	$1.45	$1.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.55 / $3.47	Professional		$1.55	$1.55	$3.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $1.55	Facility		$1.45	$1.45	$1.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.55 / $3.47	Professional		$1.55	$1.55	$3.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.91 / $2.24	Professional		$1.55	$1.91	$2.24
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.34 / $3.24	Professional		$1.48	$2.34	$3.24
United Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $1.55	Facility		$1.55	$1.55	$1.55
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.55 / $1.66	Professional		$1.55	$1.55	$1.66