Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $7.41 / $82.55	Facility		$2.37	$7.41	$82.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.20 / $5.64	Professional		$1.81	$2.20	$5.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $4.24 / $11.77	Facility		$2.72	$4.24	$11.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $3.05	Professional		$1.81	$1.81	$3.05
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $2.43 / $2.43	Facility		$2.43	$2.43	$2.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $2.02 / $2.92	Facility		$1.81	$2.02	$2.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.02 / $2.44	Professional		$1.81	$2.02	$2.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $1.81	Facility		$1.71	$1.71	$1.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $6.61	Professional		$1.81	$1.81	$6.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $6.10 / $40.74	Facility		$1.81	$6.10	$40.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $7.17	Professional		$1.81	$1.81	$7.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.53 / $2.84	Professional		$2.02	$2.53	$2.84
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.94	Professional		$1.81	$1.81	$1.94