Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.47 / $19.50	Facility		$5.01	$10.47	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.03 / $16.22	Professional		$4.57	$6.03	$16.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.79 / $10.96	Professional		$3.72	$4.79	$10.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.47 / $11.75	Facility		$9.12	$10.47	$11.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $12.30	Professional		$11.75	$11.75	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.02 / $7.94	Professional		$2.51	$3.02	$7.94
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $21.38	Professional		$9.33	$10.96	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.27 / $5.62	Professional		$2.57	$4.27	$5.62