Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $5.45 / $53.91	Facility		$1.62	$5.45	$53.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.93	Professional		$1.62	$1.62	$1.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $3.95 / $10.99	Facility		$2.54	$3.95	$10.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $18.70 / $31.79	Professional		$2.19	$18.70	$31.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.61 / $11.14	Facility		$10.61	$10.61	$11.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $10.61	Professional		$10.61	$10.61	$10.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Facility		$1.73	$1.73	$1.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $2.02	Professional		$1.73	$1.73	$2.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $429.44	Facility		$55.68	$55.68	$429.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $2.59	Professional		$1.73	$1.73	$2.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.21	Professional		$1.69	$1.69	$2.21