Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $3.40 / $5.20	Facility		$1.70	$3.40	$5.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.72 / $3.90	Professional		$1.70	$1.72	$3.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $2.74 / $4.25	Facility		$1.84	$2.74	$4.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.86	Professional		$1.70	$1.70	$2.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $2.89	Facility		$1.70	$1.70	$2.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.29	Professional		$1.70	$1.70	$2.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $1.60 / $1.70	Facility		$1.60	$1.60	$1.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.38	Professional		$1.70	$1.70	$2.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.38	Professional		$1.70	$1.70	$2.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.12 / $2.46	Professional		$1.82	$2.12	$2.46
United Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Facility		$1.70	$1.70	$1.70
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.84	Professional		$1.70	$1.70	$1.84