Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $5.92 / $92.48	Facility		$2.84	$5.92	$92.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.81 / $6.48	Professional		$2.73	$2.81	$6.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.39 / $17.75	Facility		$4.09	$6.39	$17.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $4.59	Professional		$2.73	$2.73	$4.59
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $3.66 / $3.66	Facility		$3.66	$3.66	$3.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $4.63	Facility		$2.73	$2.73	$4.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.69	Professional		$2.73	$2.73	$3.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $2.73	Facility		$2.57	$2.57	$2.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $8.61	Professional		$2.73	$2.73	$8.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $2.73	Facility		$2.57	$2.57	$2.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $8.61	Professional		$2.73	$2.73	$8.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.43 / $3.97	Professional		$3.00	$3.43	$3.97
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.73 / $3.55	Professional		$2.72	$2.73	$3.55