Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $2.43 / $3.67	Facility		$1.12	$2.43	$3.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.18 / $3.28	Professional		$1.12	$1.18	$3.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.80 / $2.80	Facility		$1.21	$1.80	$2.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $2.12	Professional		$1.12	$1.12	$2.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $1.90	Facility		$1.12	$1.12	$1.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.51	Professional		$1.12	$1.12	$1.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.05 / $1.12	Facility		$1.05	$1.05	$1.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $3.05	Professional		$1.12	$1.12	$3.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $3.05	Professional		$1.12	$1.12	$3.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.48 / $1.71	Professional		$1.29	$1.48	$1.71
United Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Facility		$1.12	$1.12	$1.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.46	Professional		$1.12	$1.12	$1.46