Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $11.91 / $92.35	Facility		$2.31	$11.91	$92.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.12 / $3.09	Professional		$1.07	$1.12	$3.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $2.50 / $6.96	Facility		$1.61	$2.50	$6.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $2.13	Professional		$1.07	$1.07	$2.13
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Facility		$1.43	$1.43	$1.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.11 / $1.62	Facility		$1.07	$1.11	$1.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.11 / $1.44	Professional		$1.07	$1.11	$1.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.01 / $1.01 / $1.07	Facility		$1.01	$1.01	$1.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $2.86	Professional		$1.07	$1.07	$2.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $8.89 / $31.04	Facility		$1.07	$8.89	$31.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $3.92	Professional		$1.07	$1.07	$3.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.40 / $1.60	Professional		$1.22	$1.40	$1.60
United Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Facility		$1.07	$1.07	$1.07
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.49	Professional		$1.07	$1.07	$1.49