Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $8.80 / $15.63	Facility		$4.05	$8.80	$15.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $7.33	Professional		$4.05	$4.05	$7.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $5.58 / $8.97	Facility		$4.48	$5.58	$8.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.02 / $5.07	Professional		$2.00	$2.02	$5.07
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.19 / $3.19	Facility		$3.19	$3.19	$3.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $5.07 / $6.84	Facility		$3.38	$5.07	$6.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.59 / $6.84	Professional		$4.30	$6.59	$6.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $5.22 / $10.69	Facility		$3.30	$5.22	$10.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.30 / $7.23	Professional		$2.31	$3.30	$7.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $5.23 / $20.25	Facility		$3.30	$5.23	$20.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.66 / $4.99	Professional		$2.31	$2.66	$4.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.18 / $6.08	Professional		$3.80	$4.18	$6.08
United Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.04 / $6.08	Professional		$2.13	$3.04	$6.08