Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $26.76 / $381.50	Facility		$4.63	$26.76	$381.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $10.06 / $27.41	Professional		$9.86	$10.06	$27.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $24.03 / $66.76	Facility		$15.41	$24.03	$66.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.80 / $13.33	Professional		$0.67	$0.80	$13.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $10.48	Facility		$2.06	$2.06	$10.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.48 / $10.48	Facility		$10.48	$10.48	$10.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $16.48	Professional		$10.48	$10.48	$16.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $8.84 / $8.84	Facility		$8.84	$8.84	$8.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $16.48	Professional		$10.48	$10.48	$16.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.30 / $0.34	Professional		$0.26	$0.30	$0.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $11.11	Professional		$10.27	$10.27	$11.11