Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $11.48 / $35.48	Facility		$4.47	$11.48	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $14.45	Professional		$3.02	$3.98	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.01 / $8.71	Facility		$4.37	$5.01	$8.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.88 / $6.03	Professional		$2.34	$2.88	$6.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $5.50	Facility		$3.63	$3.63	$5.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $13.49	Facility		$3.09	$3.09	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.02 / $7.24	Professional		$2.45	$3.02	$7.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $11.22 / $19.05	Facility		$4.27	$11.22	$19.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $2.95 / $5.37	Professional		$1.38	$2.95	$5.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.89 / $5.89	Professional		$3.24	$3.89	$5.89
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.01 / $9.33	Professional		$3.09	$5.01	$9.33
United Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $3.24 / $4.79	Facility		$1.70	$3.24	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $2.40 / $6.61	Professional		$1.07	$2.40	$6.61