Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.16 / $4.16 / $4.16	Facility		$4.16	$4.16	$4.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $4.16 / $5.51	Professional		$3.85	$4.16	$5.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $9.73 / $15.56	Facility		$7.06	$9.73	$15.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.76 / $11.08	Professional		$5.00	$5.76	$11.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $8.19	Professional		$8.16	$8.16	$8.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $5.54 / $8.19	Facility		$0.73	$5.54	$8.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $5.24 / $10.15	Professional		$0.66	$5.24	$10.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $4.84 / $8.56	Facility		$4.84	$4.84	$8.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.84 / $8.63	Professional		$4.12	$4.84	$8.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $4.84 / $6.37	Facility		$4.84	$4.84	$6.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $6.37	Professional		$4.84	$4.84	$6.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.87 / $8.46	Professional		$4.69	$5.87	$8.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.80 / $5.36	Professional		$2.58	$3.80	$5.36