Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $93.20 / $472.01	Facility		$4.40	$93.20	$472.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.89 / $10.81	Professional		$3.52	$3.89	$10.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $6.15 / $10.10	Facility		$3.80	$6.15	$10.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $6.68	Professional		$3.52	$3.52	$6.68
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $4.72 / $4.72	Facility		$4.72	$4.72	$4.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.52 / $5.98	Facility		$3.52	$3.52	$5.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $4.75	Professional		$3.52	$3.52	$4.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.32 / $3.52	Facility		$3.32	$3.32	$3.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $15.84	Professional		$3.52	$3.52	$15.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.52 / $31.60	Facility		$3.32	$3.52	$31.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $15.84	Professional		$3.52	$3.52	$15.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.93 / $6.28	Professional		$4.27	$4.93	$6.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $4.90	Professional		$3.52	$3.52	$4.90