Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.10 / $143.81	Facility		$0.03	$0.10	$143.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $13.50	Professional		$0.02	$0.04	$13.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.07 / $0.20	Facility		$0.05	$0.07	$0.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Professional		$0.03	$0.03	$0.05
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Facility		$0.03	$0.03	$0.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.06	Professional		$0.03	$0.03	$0.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.20 / $68.48	Facility		$0.10	$0.20	$68.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.06	Professional		$0.03	$0.03	$0.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04