Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $45.71 / $114.82	Facility		$2.75	$45.71	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $6.17	Professional		$2.00	$2.00	$6.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $4.79 / $14.45	Facility		$2.40	$4.79	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.45 / $4.17	Professional		$2.19	$2.45	$4.17
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.19	Facility		$2.09	$2.09	$2.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $7.08	Professional		$2.19	$2.19	$7.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $5.50 / $18.62	Facility		$2.09	$5.50	$18.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $7.76	Professional		$2.19	$2.19	$7.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.51 / $3.09	Professional		$2.04	$2.51	$3.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.98 / $5.50	Professional		$2.40	$3.98	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.88	Professional		$2.19	$2.19	$2.88