Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.95 / $13.18	Facility		$1.48	$2.95	$13.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.24	Professional		$1.00	$1.00	$2.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $3.16 / $9.55	Facility		$1.58	$3.16	$9.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.66 / $2.82	Professional		$1.48	$1.66	$2.82
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $1.91 / $1.91	Facility		$1.91	$1.91	$1.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $1.48	Facility		$1.38	$1.38	$1.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $3.47	Professional		$1.48	$1.48	$3.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $5.89	Facility		$1.38	$1.38	$5.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $3.72	Professional		$1.48	$1.48	$3.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.82 / $2.19	Professional		$1.48	$1.82	$2.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.34 / $3.24	Professional		$1.41	$2.34	$3.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.95	Professional		$1.48	$1.48	$1.95