Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $2.80 / $3.95	Facility		$1.29	$2.80	$3.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.30 / $3.00	Professional		$1.28	$1.30	$3.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $2.08 / $3.23	Facility		$1.39	$2.08	$3.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.17	Professional		$1.29	$1.29	$2.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $2.19	Facility		$1.29	$1.29	$2.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.74	Professional		$1.29	$1.29	$1.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.21 / $1.29	Facility		$1.21	$1.21	$1.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.67	Professional		$1.29	$1.29	$2.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $2.27	Facility		$2.27	$2.27	$2.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $2.67	Professional		$1.29	$1.29	$2.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.61 / $1.85	Professional		$1.40	$1.61	$1.85
United Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Facility		$1.29	$1.29	$1.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.68	Professional		$1.29	$1.29	$1.68