Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Facility		$1.20	$1.20	$1.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.91 / $7.94	Professional		$1.48	$1.91	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.95 / $1.48	Professional		$0.83	$0.95	$1.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.59 / $0.59	Facility		$0.59	$0.59	$0.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $1.05	Facility		$0.83	$0.83	$1.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $1.07	Professional		$0.83	$0.83	$1.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.83 / $0.83	Facility		$0.81	$0.83	$0.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $1.20	Professional		$0.83	$0.83	$1.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $60.26 / $75.86	Professional		$1.15	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.83 / $0.83	Professional		$0.71	$0.83	$0.83