Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $3.53 / $16.80	Facility		$1.09	$3.53	$16.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $1.17 / $3.17	Professional		$0.76	$1.17	$3.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.78 / $4.94	Facility		$1.13	$1.78	$4.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $1.28	Professional		$0.76	$0.76	$1.28
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.02 / $1.02	Facility		$1.02	$1.02	$1.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $0.90 / $1.23	Facility		$0.76	$0.90	$1.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.90 / $1.03	Professional		$0.76	$0.90	$1.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.71 / $0.76	Facility		$0.71	$0.71	$0.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $1.98	Professional		$0.76	$0.76	$1.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $3.55 / $21.55	Facility		$1.37	$3.55	$21.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.76 / $1.98	Professional		$0.74	$0.76	$1.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.95 / $1.26	Professional		$0.82	$0.95	$1.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.85 / $0.94	Professional		$0.76	$0.85	$0.94