Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.98	Facility		$2.00	$2.00	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.51 / $3.98	Professional		$2.00	$2.51	$3.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.24 / $5.13	Professional		$1.74	$2.24	$5.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.90 / $5.50	Facility		$4.27	$4.90	$5.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.75	Professional		$5.50	$5.50	$5.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.38 / $3.72	Professional		$1.17	$1.38	$3.72
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.13 / $10.00	Professional		$4.27	$5.13	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.00 / $2.57	Professional		$1.20	$2.00	$2.57