Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $14.60 / $4,330.52	Facility		$6.73	$14.60	$4,330.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.80 / $18.71	Professional		$6.73	$6.80	$18.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $11.75 / $19.32	Facility		$7.27	$11.75	$19.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $11.65	Professional		$6.73	$6.73	$11.65
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Facility		$9.02	$9.02	$9.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $11.44	Facility		$6.73	$6.73	$11.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $9.09	Professional		$6.73	$6.73	$9.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.35 / $6.73	Facility		$6.35	$6.35	$6.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $9.61	Professional		$6.73	$6.73	$9.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $10.26 / $12.17	Facility		$10.26	$10.26	$12.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $9.61	Professional		$6.73	$6.73	$9.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $8.41 / $9.75	Professional		$6.98	$8.41	$9.75
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $7.28	Professional		$6.73	$6.73	$7.28