Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.91 / $1,348.96	Facility		$1.38	$1.91	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.41 / $4.37	Professional		$1.00	$1.41	$4.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.81 / $1.51	Facility		$0.81	$0.81	$1.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.85 / $1.29	Professional		$0.76	$0.85	$1.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.79 / $0.91	Facility		$0.79	$0.79	$0.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $1.07	Professional		$0.79	$0.79	$1.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.76 / $1.15	Facility		$0.71	$0.76	$1.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $1.26	Professional		$0.76	$0.76	$1.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $1.07 / $1.15	Facility		$0.71	$1.07	$1.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $1.32	Professional		$0.76	$0.76	$1.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.85 / $1.15	Professional		$0.76	$0.85	$1.15
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.00 / $1.82	Professional		$0.79	$1.00	$1.82
United Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.76 / $0.85	Professional		$0.71	$0.76	$0.85