Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $7.99 / $52.59	Facility		$2.89	$7.99	$52.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.90 / $6.45	Professional		$2.31	$2.90	$6.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $6.79 / $18.85	Facility		$4.34	$6.79	$18.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $5.01	Professional		$2.90	$2.90	$5.01
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.90 / $3.94	Facility		$2.31	$2.90	$3.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.90 / $3.92	Professional		$2.31	$2.90	$3.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $2.90	Facility		$2.73	$2.73	$2.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $5.22	Professional		$2.90	$2.90	$5.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $6.74 / $24.80	Facility		$2.63	$6.74	$24.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $5.43	Professional		$2.90	$2.90	$5.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.55 / $3.04 / $4.05	Professional		$2.55	$3.04	$4.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $3.80	Professional		$2.90	$2.90	$3.80