Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.95 / $223.87	Facility		$1.15	$1.95	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $11.22 / $134.90	Professional		$1.20	$11.22	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $1.00 / $3.02	Facility		$0.50	$1.00	$3.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.52 / $0.81	Professional		$0.46	$0.52	$0.81
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $0.98 / $0.98	Facility		$0.98	$0.98	$0.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.56 / $0.85	Facility		$0.56	$0.56	$0.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $1.32	Professional		$0.56	$0.56	$1.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.44 / $85.11	Facility		$0.44	$0.44	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.46 / $0.79	Professional		$0.46	$0.46	$0.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.46 / $85.11	Facility		$0.44	$0.46	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.46 / $0.89	Professional		$0.46	$0.46	$0.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.58 / $0.76	Professional		$0.46	$0.58	$0.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.52 / $0.95	Professional		$0.43	$0.52	$0.95
United Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.46 / $0.52	Professional		$0.32	$0.46	$0.52