Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $13.06 / $58.50	Facility		$5.42	$13.06	$58.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.30 / $5.56	Professional		$4.13	$4.30	$5.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $6.12 / $9.84	Facility		$4.91	$6.12	$9.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $6.00	Professional		$2.34	$2.34	$6.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $4.45	Professional		$4.45	$4.45	$4.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $5.84 / $7.51	Facility		$4.17	$5.84	$7.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $5.56 / $9.15	Professional		$3.61	$5.56	$9.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $5.72 / $15.52	Facility		$3.61	$5.72	$15.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.81 / $7.74	Professional		$2.48	$3.81	$7.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $5.72 / $18.95	Facility		$3.61	$5.72	$18.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.81 / $6.38	Professional		$2.95	$3.81	$6.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.58 / $6.67	Professional		$4.17	$4.58	$6.67
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.34 / $8.97	Professional		$2.34	$3.34	$8.97