Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.54 / $5.51 / $68.50	Facility		$1.54	$5.51	$68.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.54 / $2.64	Professional		$1.35	$2.54	$2.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $5.64 / $16.51	Facility		$3.81	$5.64	$16.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.87 / $4.34	Professional		$2.54	$2.87	$4.34
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $6.02 / $6.02	Facility		$6.02	$6.02	$6.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $2.00 / $3.56	Facility		$1.34	$2.00	$3.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $2.54 / $4.05	Professional		$1.34	$2.54	$4.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.54	Facility		$2.40	$2.40	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.24	Professional		$2.54	$2.54	$3.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $2.75 / $85.00	Facility		$1.19	$2.75	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $4.20	Professional		$2.54	$2.54	$4.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.67 / $3.17	Professional		$1.34	$1.67	$3.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $8.01	Professional		$2.54	$2.54	$8.01