Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $10.23 / $66.07	Facility		$3.98	$10.23	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.02 / $8.71	Professional		$2.82	$3.02	$8.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.27 / $7.41	Facility		$3.63	$4.27	$7.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.09 / $3.24	Professional		$1.82	$2.09	$3.24
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Facility		$2.69	$2.69	$2.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $4.17 / $5.01	Facility		$2.75	$4.17	$5.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.98 / $5.37	Professional		$2.57	$3.98	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $13.80	Facility		$2.57	$2.57	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.34 / $5.62	Professional		$1.82	$2.34	$5.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $22.39 / $58.88	Facility		$4.07	$22.39	$58.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.34 / $6.17	Professional		$1.82	$2.34	$6.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.31 / $4.90	Professional		$2.69	$3.31	$4.90
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.17 / $9.33	Professional		$2.57	$4.17	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $2.57 / $3.98	Facility		$1.45	$2.57	$3.98
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.40 / $4.79	Professional		$1.70	$2.40	$4.79