Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $29.25 / $98.75	Facility		$5.81	$29.25	$98.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.42 / $4.96	Professional		$3.34	$3.42	$4.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $4.71 / $7.57	Facility		$3.78	$4.71	$7.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $4.62	Professional		$2.10	$2.10	$4.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.42 / $3.42	Professional		$3.42	$3.42	$3.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $4.49 / $5.78	Facility		$3.21	$4.49	$5.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.28 / $7.05	Professional		$2.78	$4.28	$7.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $4.40 / $17.80	Facility		$2.78	$4.40	$17.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.42 / $6.20	Professional		$2.15	$3.42	$6.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $18.35 / $65.47	Facility		$4.40	$18.35	$65.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.73 / $7.14	Professional		$2.15	$2.73	$7.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.85 / $5.29	Professional		$3.21	$3.85	$5.29
United Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $5.14	Facility		$5.14	$5.14	$5.14
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.57 / $7.79	Professional		$1.80	$2.57	$7.79