Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $3.56 / $840.99	Facility		$1.64	$3.56	$840.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $1.77 / $565.21	Professional		$1.63	$1.77	$565.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $2.86 / $4.71	Facility		$1.77	$2.86	$4.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $3.11	Professional		$1.64	$1.64	$3.11
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Facility		$2.20	$2.20	$2.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.77 / $2.48	Facility		$1.64	$1.77	$2.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.77 / $2.21	Professional		$1.64	$1.77	$2.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $1.64	Facility		$1.55	$1.55	$1.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $5.29	Professional		$1.64	$1.64	$5.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $5.36 / $13.30	Facility		$1.70	$5.36	$13.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $5.29	Professional		$1.64	$1.64	$5.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.21 / $2.47	Professional		$1.88	$2.21	$2.47
United Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Facility		$1.64	$1.64	$1.64
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $2.27	Professional		$1.64	$1.64	$2.27