Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $9.25 / $53.38	Facility		$1.89	$9.25	$53.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.65 / $1.75 / $3.99	Professional		$1.65	$1.75	$3.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $4.09 / $11.38	Facility		$2.63	$4.09	$11.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.95	Professional		$1.75	$1.75	$2.95
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $2.35 / $2.35	Facility		$2.35	$2.35	$2.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.75 / $2.54	Facility		$1.64	$1.75	$2.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.75 / $2.36	Professional		$1.64	$1.75	$2.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.65 / $1.74	Facility		$1.65	$1.65	$1.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $4.19	Professional		$1.74	$1.74	$4.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $3.47 / $10.66	Facility		$1.65	$3.47	$10.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $4.19	Professional		$1.74	$1.74	$4.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.02 / $2.45	Professional		$1.75	$2.02	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.27	Professional		$1.75	$1.75	$2.27