Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $12.26 / $68.29	Facility		$2.47	$12.26	$68.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.49 / $4.13	Professional		$1.39	$1.49	$4.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.25 / $9.03	Facility		$2.09	$3.25	$9.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $2.77	Professional		$1.39	$1.39	$2.77
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Facility		$1.86	$1.86	$1.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.49 / $2.25	Facility		$1.39	$1.49	$2.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.49 / $1.88	Professional		$1.39	$1.49	$1.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.31 / $1.39	Facility		$1.31	$1.31	$1.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $7.00	Professional		$1.39	$1.39	$7.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $9.00 / $33.00	Facility		$2.57	$9.00	$33.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $7.00	Professional		$1.39	$1.39	$7.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $1.94 / $2.19	Professional		$1.63	$1.94	$2.19
United Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.93	Professional		$1.39	$1.39	$1.93