Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $8.02 / $18.00	Facility		$3.10	$8.02	$18.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.74 / $8.02	Professional		$3.55	$3.74	$8.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $8.66 / $24.05	Facility		$5.55	$8.66	$24.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $6.23	Professional		$3.70	$3.70	$6.23
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $4.96 / $4.96	Facility		$4.96	$4.96	$4.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $3.70 / $6.29	Facility		$3.70	$3.70	$6.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $5.00	Professional		$3.70	$3.70	$5.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $3.70	Facility		$3.49	$3.49	$3.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $7.16	Professional		$3.70	$3.70	$7.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.70 / $12.18	Facility		$3.49	$3.70	$12.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $7.16	Professional		$3.70	$3.70	$7.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $4.38 / $5.18	Professional		$3.85	$4.38	$5.18
United Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $5.15	Professional		$3.70	$3.70	$5.15