Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $3.08 / $45.80	Facility		$1.35	$3.08	$45.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.02	Professional		$1.35	$1.35	$2.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $3.00 / $8.77	Facility		$2.02	$3.00	$8.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.54 / $2.31	Professional		$1.35	$1.54	$2.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $2.04	Facility		$1.35	$1.35	$2.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.55	Professional		$1.35	$1.35	$1.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.28 / $1.35	Facility		$1.28	$1.28	$1.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.35	Professional		$1.35	$1.35	$2.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.23 / $43.23 / $85.00	Facility		$43.23	$43.23	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.35	Professional		$1.35	$1.35	$2.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.63	Professional		$1.35	$1.35	$1.63