Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $3.81 / $28.48	Facility		$1.19	$3.81	$28.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.12 / $2.54	Professional		$1.09	$1.12	$2.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $2.54 / $7.09	Facility		$1.64	$2.54	$7.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.83	Professional		$1.09	$1.09	$1.83
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $1.46 / $1.46	Facility		$1.46	$1.46	$1.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.09 / $1.58	Facility		$1.00	$1.09	$1.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.09 / $1.47	Professional		$1.00	$1.09	$1.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $1.02 / $1.09	Facility		$1.02	$1.02	$1.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $3.52	Professional		$1.09	$1.09	$3.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $3.93 / $21.75	Facility		$1.09	$3.93	$21.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $3.52	Professional		$1.09	$1.09	$3.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.40 / $1.58	Professional		$1.19	$1.40	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.21 / $1.53	Professional		$1.09	$1.21	$1.53