Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $6.40 / $21.74	Facility		$2.95	$6.40	$21.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.04 / $7.45	Professional		$2.95	$3.04	$7.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $6.90 / $19.18	Facility		$4.43	$6.90	$19.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $4.97	Professional		$2.95	$2.95	$4.97
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Facility		$3.95	$3.95	$3.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.87 / $2.95 / $4.33	Facility		$2.87	$2.95	$4.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.95 / $3.98	Professional		$2.87	$2.95	$3.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $2.78 / $2.95	Facility		$2.78	$2.78	$2.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $5.93	Professional		$2.95	$2.95	$5.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $3.11 / $15.78	Facility		$1.15	$3.11	$15.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $5.93	Professional		$2.95	$2.95	$5.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.01 / $4.63	Professional		$3.24	$4.01	$4.63
United Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Facility		$4.04	$4.04	$4.04
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.28 / $4.13	Professional		$2.95	$3.28	$4.13