Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $4.00 / $5.75	Facility		$1.85	$4.00	$5.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.87 / $4.22	Professional		$1.85	$1.87	$4.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.98 / $4.63	Facility		$2.00	$2.98	$4.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $3.44	Professional		$1.85	$1.85	$3.44
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.48 / $2.48	Facility		$2.48	$2.48	$2.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $3.15	Facility		$1.85	$1.85	$3.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.50	Professional		$1.85	$1.85	$2.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.85	Facility		$1.75	$1.75	$1.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $3.18	Professional		$1.85	$1.85	$3.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.85	Facility		$1.75	$1.75	$1.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $3.18	Professional		$1.85	$1.85	$3.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.01 / $2.31 / $2.68	Professional		$2.01	$2.31	$2.68
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.41	Professional		$1.85	$1.85	$2.41