Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $7.08 / $501.19	Facility		$3.31	$7.08	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.31 / $144.54	Professional		$3.02	$3.31	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $6.17 / $21.38	Facility		$3.55	$6.17	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.72 / $5.62	Professional		$3.31	$3.72	$5.62
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $4.68	Facility		$3.24	$3.24	$4.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $4.37	Professional		$3.24	$3.24	$4.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $3.31	Facility		$3.09	$3.09	$3.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $4.37	Professional		$3.31	$3.31	$4.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $5.62 / $18.62	Facility		$3.09	$5.62	$18.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $4.68	Professional		$3.31	$3.31	$4.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.63 / $4.79	Professional		$3.24	$3.63	$4.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.07 / $6.46	Professional		$3.39	$4.07	$6.46
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Facility		$3.31	$3.31	$3.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.31 / $3.72	Professional		$3.09	$3.31	$3.72