Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.39 / $5.62	Facility		$2.00	$3.39	$5.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.75	Professional		$2.00	$2.00	$2.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.72 / $10.23	Facility		$2.14	$3.72	$10.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.24 / $3.47	Professional		$2.00	$2.24	$3.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Facility		$1.86	$1.86	$1.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.51	Professional		$1.86	$1.86	$2.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $1.91 / $85.11	Facility		$1.91	$1.91	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.82	Professional		$2.00	$2.00	$2.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.00 / $85.11	Facility		$1.91	$2.00	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.47	Professional		$2.00	$2.00	$3.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.19 / $2.88	Professional		$1.86	$2.19	$2.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $4.27 / $9.12	Professional		$2.09	$4.27	$9.12
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $2.00 / $2.00	Facility		$1.86	$2.00	$2.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.00 / $2.04	Professional		$1.78	$2.00	$2.04