Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $97.82 / $510.42	Facility		$4.58	$97.82	$510.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.58 / $181.89	Professional		$3.22	$4.58	$181.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $7.53 / $20.93	Facility		$4.83	$7.53	$20.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $5.42	Professional		$3.22	$3.22	$5.42
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Facility		$4.30	$4.30	$4.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.95 / $5.47	Facility		$3.22	$3.95	$5.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.95 / $4.34	Professional		$3.22	$3.95	$4.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.22	Facility		$3.04	$3.04	$3.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $13.35	Professional		$3.22	$3.22	$13.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $9.14 / $25.98	Facility		$3.77	$9.14	$25.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $13.35	Professional		$3.22	$3.22	$13.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $4.50 / $5.53	Professional		$3.86	$4.50	$5.53
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.47 / $4.69	Professional		$3.22	$4.47	$4.69