Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $10.00	Facility		$2.54	$2.54	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.62	Professional		$2.54	$2.54	$2.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.94 / $5.25	Professional		$2.54	$2.94	$5.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $3.89	Facility		$2.54	$2.54	$3.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.43	Professional		$2.54	$2.54	$3.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.54	Facility		$2.40	$2.40	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.60	Professional		$2.54	$2.54	$3.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.84	Professional		$2.54	$2.54	$3.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.17 / $3.69	Professional		$2.56	$3.17	$3.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.27	Professional		$2.54	$2.54	$3.27