Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $2.61 / $28.98	Facility		$0.81	$2.61	$28.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.84 / $2.02	Professional		$0.80	$0.84	$2.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.87 / $5.20	Facility		$1.20	$1.87	$5.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $1.52	Professional		$0.80	$0.80	$1.52
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Facility		$1.07	$1.07	$1.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $0.84 / $1.27	Facility		$0.80	$0.84	$1.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.84 / $1.08	Professional		$0.80	$0.84	$1.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $0.76 / $0.80	Facility		$0.76	$0.76	$0.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $4.80	Professional		$0.80	$0.80	$4.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $2.75 / $23.24	Facility		$0.76	$2.75	$23.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $5.01	Professional		$0.80	$0.80	$5.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.05 / $1.17	Professional		$0.88	$1.05	$1.17
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.89 / $1.15	Professional		$0.80	$0.89	$1.15