Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $8.13 / $58.88	Facility		$0.25	$8.13	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $2.00	Professional		$1.26	$1.26	$2.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.56 / $1.70	Facility		$0.28	$0.56	$1.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.31 / $0.48	Professional		$0.26	$0.31	$0.48
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Facility		$3.39	$3.39	$3.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $0.24	Facility		$0.24	$0.24	$0.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $0.32 / $0.32	Professional		$0.32	$0.32	$0.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $0.26	Facility		$0.24	$0.24	$0.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.31	Professional		$0.26	$0.26	$0.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.24 / $1.17	Facility		$0.24	$0.24	$1.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.36	Professional		$0.26	$0.26	$0.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.34 / $0.52	Professional		$0.26	$0.34	$0.52
United Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $0.31	Facility		$0.31	$0.31	$0.31
United Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.26 / $0.31	Professional		$0.26	$0.26	$0.31