Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $3.66 / $13.63	Facility		$1.37	$3.66	$13.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.38 / $2.71	Professional		$1.33	$1.38	$2.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $3.23 / $8.97	Facility		$2.06	$3.23	$8.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $2.31	Professional		$1.38	$1.38	$2.31
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $1.85	Facility		$1.85	$1.85	$1.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.38 / $1.95	Facility		$1.32	$1.38	$1.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.38 / $1.86	Professional		$1.32	$1.38	$1.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $1.30 / $1.38	Facility		$1.30	$1.30	$1.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.86	Professional		$1.38	$1.38	$1.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $3.86 / $22.53	Facility		$1.38	$3.86	$22.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $2.37	Professional		$1.38	$1.38	$2.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.84 / $2.19	Professional		$1.51	$1.84	$2.19
United Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.54 / $2.00	Professional		$1.38	$1.54	$2.00