Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $2.41 / $3,724.71	Facility		$1.13	$2.41	$3,724.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.13 / $6.00	Professional		$1.11	$1.13	$6.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.94 / $3.19	Facility		$1.20	$1.94	$3.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.94	Professional		$1.11	$1.11	$1.94
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.49 / $1.49	Facility		$1.49	$1.49	$1.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $1.13 / $1.72	Facility		$1.11	$1.13	$1.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.13 / $1.50	Professional		$1.11	$1.13	$1.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.04 / $1.11	Facility		$1.04	$1.04	$1.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $3.08	Professional		$1.11	$1.11	$3.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $2.70 / $5.31	Facility		$1.38	$2.70	$5.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $3.08	Professional		$1.11	$1.11	$3.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.42 / $1.63	Professional		$1.24	$1.42	$1.63
United Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.54	Professional		$1.11	$1.11	$1.54