Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $14.13	Facility		$1.32	$1.32	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.05 / $7.94	Professional		$1.05	$1.05	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.71 / $2.14	Facility		$0.36	$0.71	$2.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.45 / $0.71	Professional		$0.36	$0.45	$0.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.33	Professional		$0.33	$0.33	$0.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $85.11	Facility		$0.33	$0.33	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.39	Professional		$0.33	$0.33	$0.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $85.11	Facility		$0.33	$0.33	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.33 / $0.39	Professional		$0.33	$0.33	$0.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.46 / $0.85	Professional		$0.39	$0.46	$0.85
United Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.33 / $0.34	Professional		$0.31	$0.33	$0.34