Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $15.49 / $46.77	Facility		$5.25	$15.49	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $33.11	Professional		$3.98	$5.01	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.89 / $10.23	Facility		$5.13	$5.89	$10.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.39 / $7.08	Professional		$2.75	$3.39	$7.08
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $5.89 / $6.92	Facility		$3.72	$5.89	$6.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.62 / $7.59	Professional		$3.63	$5.62	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $18.20	Facility		$3.63	$3.63	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.63 / $10.72	Professional		$2.82	$3.63	$10.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $11.75 / $51.29	Facility		$5.01	$11.75	$51.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $5.25 / $8.91	Professional		$2.82	$5.25	$8.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.57 / $6.92	Professional		$3.80	$4.57	$6.92
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Facility		$6.61	$6.61	$6.61
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.89 / $10.96	Professional		$3.63	$5.89	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.80 / $5.62	Facility		$2.00	$3.80	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.31 / $6.61	Professional		$2.34	$3.31	$6.61