Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.02	Facility		$2.00	$2.00	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.24	Professional		$1.00	$1.00	$3.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $0.81 / $1.66	Facility		$0.78	$0.81	$1.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.49 / $0.98	Professional		$0.37	$0.49	$0.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.56 / $0.89	Facility		$0.38	$0.56	$0.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.68 / $1.00	Professional		$0.49	$0.68	$1.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.42	Facility		$0.42	$0.42	$0.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.42	Professional		$0.36	$0.36	$0.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.42 / $0.42	Facility		$0.42	$0.42	$0.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.42	Professional		$0.36	$0.36	$0.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.51 / $0.74	Professional		$0.36	$0.51	$0.74
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $0.91 / $0.91	Facility		$0.91	$0.91	$0.91
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.85 / $1.55	Professional		$0.78	$0.85	$1.55
United Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.50 / $0.78	Facility		$0.30	$0.50	$0.78
United Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.37 / $0.51	Professional		$0.25	$0.37	$0.51