Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $12.09 / $60.43	Facility		$4.87	$12.09	$60.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.39 / $11.93	Professional		$3.14	$3.39	$11.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $4.32 / $6.95	Facility		$3.47	$4.32	$6.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $4.24	Professional		$1.94	$1.94	$4.24
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.48 / $2.48	Facility		$2.48	$2.48	$2.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $4.13 / $5.31	Facility		$2.95	$4.13	$5.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.93 / $6.47	Professional		$2.54	$3.93	$6.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $4.04 / $14.66	Facility		$2.54	$4.04	$14.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $3.15 / $5.72	Professional		$1.98	$3.15	$5.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $11.20 / $50.21	Facility		$2.63	$11.20	$50.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.52 / $5.26	Professional		$1.98	$2.52	$5.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.24 / $4.72	Professional		$2.95	$3.24	$4.72
United Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $3.73 / $5.48	Professional		$2.36	$3.73	$5.48