Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $10.72 / $16.98	Facility		$4.47	$10.72	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $12.88	Professional		$3.98	$5.01	$12.88
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 $4.27 / $4.27 / $6.46	Facility		$4.27	$4.27	$6.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $19.05	Facility		$3.63	$3.63	$19.05
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 $3.63 / $5.75 / $19.05	Facility		$3.63	$5.75	$19.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.80 / $9.12	Professional		$2.82	$3.80	$9.12
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 / $12.88	Professional		$3.63	$5.89	$12.88
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