Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $6.73 / $74.68	Facility		$3.10	$6.73	$74.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.19 / $6.73	Professional		$3.07	$3.19	$6.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $7.25 / $20.14	Facility		$4.65	$7.25	$20.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $5.22	Professional		$3.10	$3.10	$5.22
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $4.15 / $4.15	Facility		$4.15	$4.15	$4.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.10 / $5.27	Facility		$3.10	$3.10	$5.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $4.19	Professional		$3.10	$3.10	$4.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $3.10	Facility		$2.92	$2.92	$3.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $4.75	Professional		$3.10	$3.10	$4.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $3.10 / $17.82	Facility		$2.92	$3.10	$17.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $4.75	Professional		$3.10	$3.10	$4.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.96 / $6.44	Professional		$4.25	$5.96	$6.44
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.10 / $3.41	Professional		$3.09	$3.10	$3.41