Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $5.76 / $22.84	Facility		$2.31	$5.76	$22.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.31 / $6.28	Professional		$2.25	$2.31	$6.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.29 / $14.69	Facility		$3.39	$5.29	$14.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $4.50	Professional		$2.25	$2.25	$4.50
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $3.03 / $3.03	Facility		$3.03	$3.03	$3.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $3.84	Facility		$2.25	$2.25	$3.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $3.05	Professional		$2.25	$2.25	$3.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.13 / $2.25	Facility		$2.13	$2.13	$2.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $12.04	Professional		$2.25	$2.25	$12.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $6.50 / $23.66	Facility		$6.36	$6.50	$23.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $12.45	Professional		$2.25	$2.25	$12.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.27 / $5.19	Professional		$2.48	$3.27	$5.19
United Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Facility		$2.25	$2.25	$2.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $3.14	Professional		$2.25	$2.25	$3.14