Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $24.80 / $69.93	Facility		$2.20	$24.80	$69.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.86 / $2.20	Professional		$0.82	$0.86	$2.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $2.11 / $5.85	Facility		$1.35	$2.11	$5.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.18 / $1.89	Professional		$0.15	$0.18	$1.89
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $68.06 / $68.06	Facility		$68.06	$68.06	$68.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.59 / $0.92	Facility		$0.59	$0.59	$0.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.80	Professional		$0.59	$0.59	$0.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.92 / $0.92 / $0.92	Facility		$0.92	$0.92	$0.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $0.92 / $1.29	Professional		$0.92	$0.92	$1.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $4.00 / $14.66	Facility		$0.79	$4.00	$14.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $0.92 / $1.29	Professional		$0.92	$0.92	$1.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.48 / $0.56	Professional		$0.42	$0.48	$0.56
United Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $0.97	Professional		$0.90	$0.90	$0.97