Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $8.44 / $3,628.76	Facility		$3.89	$8.44	$3,628.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.93 / $9.90	Professional		$3.89	$3.93	$9.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $6.26 / $9.73	Facility		$4.20	$6.26	$9.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $7.39	Professional		$3.89	$3.89	$7.39
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.21 / $5.21 / $5.21	Facility		$5.21	$5.21	$5.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $6.61	Facility		$3.89	$3.89	$6.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $5.25	Professional		$3.89	$3.89	$5.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $3.67 / $3.89	Facility		$3.67	$3.67	$3.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $6.23	Professional		$3.89	$3.89	$6.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $7.19 / $10.53	Facility		$5.66	$7.19	$10.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $6.48	Professional		$3.89	$3.89	$6.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.86 / $5.64	Professional		$4.27	$4.86	$5.64
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $5.41	Professional		$3.89	$3.89	$5.41