Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $2.37 / $3.51	Facility		$1.09	$2.37	$3.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.12 / $2.73	Professional		$1.09	$1.12	$2.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.75 / $3.10	Facility		$1.17	$1.75	$3.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.83	Professional		$1.09	$1.09	$1.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.09 / $1.85	Facility		$1.09	$1.09	$1.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.47	Professional		$1.09	$1.09	$1.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.02 / $1.09	Facility		$1.02	$1.02	$1.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $2.31	Professional		$1.09	$1.09	$2.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.02 / $1.09	Facility		$1.02	$1.02	$1.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $2.31	Professional		$1.09	$1.09	$2.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.41 / $1.62	Professional		$1.23	$1.41	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.52	Professional		$1.09	$1.09	$1.52