Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $3.23 / $4.96	Facility		$1.49	$3.23	$4.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.54 / $3.23	Professional		$1.49	$1.54	$3.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $2.40 / $3.73	Facility		$1.61	$2.40	$3.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $2.58	Professional		$1.49	$1.49	$2.58
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.49 / $2.52	Facility		$1.49	$1.49	$2.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $2.00	Professional		$1.49	$1.49	$2.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $1.49	Facility		$1.41	$1.41	$1.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $2.49	Professional		$1.49	$1.49	$2.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.49 / $2.80	Facility		$1.41	$1.49	$2.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $2.49	Professional		$1.49	$1.49	$2.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.86 / $2.16	Professional		$1.59	$1.86	$2.16
United Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.49 / $1.77	Facility		$1.49	$1.49	$1.77
United Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $1.61	Professional		$1.49	$1.49	$1.61