Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $1.04 / $1.71	Facility		$0.45	$1.04	$1.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.60	Professional		$0.45	$0.45	$0.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.59 / $0.96	Professional		$0.52	$0.59	$0.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $7.02	Facility		$4.13	$4.13	$7.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.13 / $4.13	Professional		$2.89	$4.13	$4.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $3.85 / $3.85	Facility		$3.85	$3.85	$3.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $3.85 / $3.85	Professional		$3.85	$3.85	$3.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $3.85 / $3.85	Facility		$3.85	$3.85	$3.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $3.85 / $3.85	Professional		$3.85	$3.85	$3.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.15 / $0.23	Professional		$0.10	$0.15	$0.23
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $4.53 / $4.84	Professional		$1.81	$4.53	$4.84