Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $3.72 / $39.81	Facility		$1.35	$3.72	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.74	Professional		$1.00	$1.00	$1.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $3.02 / $9.12	Facility		$1.51	$3.02	$9.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.68 / $1.78	Professional		$0.52	$0.68	$1.78
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $1.45	Facility		$1.45	$1.45	$1.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $2.24	Professional		$1.45	$1.45	$2.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.45 / $13.80	Facility		$1.45	$1.45	$13.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $2.24	Professional		$1.45	$1.45	$2.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.66 / $0.76	Professional		$0.52	$0.66	$0.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.04 / $3.47	Professional		$1.48	$2.04	$3.47
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.51	Professional		$1.41	$1.41	$1.51