Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $6.46 / $289.93	Facility		$2.71	$6.46	$289.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.74 / $2.60	Professional		$1.73	$1.74	$2.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $4.07 / $11.31	Facility		$2.61	$4.07	$11.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.87 / $3.47	Professional		$1.74	$1.87	$3.47
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.37 / $3.17	Facility		$2.37	$2.37	$3.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $2.61	Facility		$1.74	$1.74	$2.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $3.53	Professional		$1.74	$1.74	$3.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $1.74	Facility		$1.64	$1.64	$1.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $4.92	Professional		$1.74	$1.74	$4.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $5.98 / $20.48	Facility		$0.93	$5.98	$20.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $6.31	Professional		$1.74	$1.74	$6.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.17 / $2.62	Professional		$1.91	$2.17	$2.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.44	Professional		$1.74	$1.74	$2.44