Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $8.71 / $52.48	Facility		$2.14	$8.71	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $4.27	Professional		$2.00	$2.00	$4.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $4.68 / $14.13	Facility		$2.34	$4.68	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.40 / $4.07	Professional		$2.14	$2.40	$4.07
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.14	Facility		$2.04	$2.04	$2.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $7.24	Professional		$2.14	$2.14	$7.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $7.59 / $21.88	Facility		$2.04	$7.59	$21.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $13.49	Professional		$2.14	$2.14	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.82 / $3.55	Professional		$2.14	$2.82	$3.55
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.63 / $5.01	Professional		$2.14	$3.63	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.88	Professional		$2.14	$2.14	$2.88