Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $14.62 / $42.49	Facility		$5.22	$14.62	$42.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $5.22 / $6.01	Professional		$4.11	$5.22	$6.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $7.18 / $11.56	Facility		$5.77	$7.18	$11.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $7.05	Professional		$3.22	$3.22	$7.05
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.11 / $4.11	Facility		$4.11	$4.11	$4.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $5.22 / $5.22	Professional		$5.22	$5.22	$5.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $6.53 / $8.82	Facility		$4.46	$6.53	$8.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $8.49 / $8.82	Professional		$5.55	$8.49	$8.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $6.72 / $25.21	Facility		$4.24	$6.72	$25.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.24 / $9.51	Professional		$3.30	$5.24	$9.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $6.72 / $25.63	Facility		$4.24	$6.72	$25.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $4.24 / $12.12	Professional		$3.30	$4.24	$12.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.39 / $7.84	Professional		$4.90	$5.39	$7.84
United Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $3.93 / $9.13	Professional		$2.74	$3.93	$9.13