Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $4.01 / $6.29	Facility		$1.85	$4.01	$6.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.89 / $4.29	Professional		$1.85	$1.89	$4.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.98 / $4.63	Facility		$2.00	$2.98	$4.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $3.11	Professional		$1.85	$1.85	$3.11
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.48 / $2.48	Facility		$2.48	$2.48	$2.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $3.15	Facility		$1.85	$1.85	$3.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.50	Professional		$1.85	$1.85	$2.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $1.85	Facility		$1.74	$1.74	$1.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.72	Professional		$1.85	$1.85	$2.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.72	Professional		$1.85	$1.85	$2.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.03 / $2.35 / $2.72	Professional		$2.03	$2.35	$2.72
United Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $1.85	Facility		$1.85	$1.85	$1.85
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.00	Professional		$1.85	$1.85	$2.00