Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $8.44 / $84.48	Facility		$3.31	$8.44	$84.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.90 / $8.26	Professional		$1.95	$2.90	$8.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $4.55 / $12.68	Facility		$2.93	$4.55	$12.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $3.28	Professional		$1.95	$1.95	$3.28
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $2.61 / $2.61	Facility		$2.61	$2.61	$2.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.27 / $3.32	Facility		$1.95	$2.27	$3.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.27 / $2.63	Professional		$1.95	$2.27	$2.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $1.84 / $1.95	Facility		$1.84	$1.84	$1.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $8.83	Professional		$1.95	$1.95	$8.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $14.28 / $54.80	Facility		$3.65	$14.28	$54.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $9.18	Professional		$1.95	$1.95	$9.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.82 / $3.45	Professional		$2.43	$2.82	$3.45
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.54	Professional		$1.95	$1.95	$2.54