Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $4.01 / $8.48	Facility		$1.85	$4.01	$8.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.90 / $4.01	Professional		$1.85	$1.90	$4.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $4.33 / $12.03	Facility		$2.78	$4.33	$12.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $3.51	Professional		$1.85	$1.85	$3.51
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.48 / $2.48	Facility		$2.48	$2.48	$2.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $3.05	Facility		$1.85	$1.85	$3.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.50	Professional		$1.85	$1.85	$2.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $1.85	Facility		$1.74	$1.74	$1.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $4.80	Professional		$1.85	$1.85	$4.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $5.44 / $13.78	Facility		$1.92	$5.44	$13.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $4.99	Professional		$1.85	$1.85	$4.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.59 / $3.20	Professional		$2.21	$2.59	$3.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.57	Professional		$1.85	$1.85	$2.57