Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $31.62 / $100.00	Facility		$8.71	$31.62	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.09 / $0.26	Facility		$0.04	$0.09	$0.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.08	Professional		$0.04	$0.04	$0.08
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 $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Professional		$0.05	$0.05	$0.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.10	Professional		$0.04	$0.04	$0.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.13 / $0.65	Facility		$0.04	$0.13	$0.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.11	Professional		$0.04	$0.04	$0.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.05 / $0.05	Professional		$0.04	$0.05	$0.05
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.05 / $0.07	Professional		$0.03	$0.05	$0.07
United Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.05	Professional		$0.04	$0.04	$0.05