Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $3.52 / $29.53	Facility		$1.57	$3.52	$29.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.63 / $2.46	Professional		$1.57	$1.63	$2.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $3.67 / $10.21	Facility		$2.36	$3.67	$10.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $3.13	Professional		$1.57	$1.57	$3.13
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Facility		$2.10	$2.10	$2.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $2.67	Facility		$1.57	$1.57	$2.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.12	Professional		$1.57	$1.57	$2.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $1.57	Facility		$1.48	$1.48	$1.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $3.43	Professional		$1.57	$1.57	$3.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $5.30 / $5.30	Facility		$5.30	$5.30	$5.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $3.57	Professional		$1.57	$1.57	$3.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.04 / $2.31	Professional		$1.76	$2.04	$2.31
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.21	Professional		$1.57	$1.57	$2.21